Individual provider Active NPI

Jorge Castellanos, M.D.

  • Specialist
  • Hialeah, FL
National Provider Identifier
1326077967
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050804 Issued in FL
Practice address
2387 W 68TH St
Suite #304
Hialeah, FL 33016-6889
Phone
(305) 824-3604
Fax
(305) 826-1300
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0050804 FL Primary

Addresses

Primary practice location

2387 W 68TH St
Suite #304
Hialeah, FL 33016-6889

Mailing address

2387 W 68TH St
Suite #304
Hialeah, FL 33016-6889
Phone (305) 824-3604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000638 FL Practitioner - Pulmonary Disease 7517001092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2387 W 68TH St
Suite 304
Hialeah, FL 33016-6816

2387 W 68TH St
Suite 304
Hialeah, FL 33016-6890
Phone (305) 824-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0050804FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzalez & Castellanos, M.D., P.a. Specialist CurrentSince Jul 6, 1987 Accepting new patients

Locations

2387 W 68th St
Ste 304
Hialeah, FL 33016
Phone (305) 824-0113

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1326077967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE #304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "305-824-3604",
            "fax_number": "305-826-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE #304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "305-824-3604",
            "fax_number": "305-826-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.