Renes Castor, MD

Key facts

NPI

1407830995

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

ME43329 (FL)

Practice address

3933 N Haverhill Rd Ste 115
West Palm Beach, FL 33417-8338

Phone

(561) 478-7659

Fax

(877) 317-6158

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

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.

• PCC Medical Holdings LLC Internal Medicine Physician · Lake Worth, FL · NPI 1174167993
  Medicare reassignment Care Compare group NPD FL · INTERNAL MEDICINE
• Renes Castor MD PA Internal Medicine Physician · West Palm Beach, FL · NPI 1427199652
  NPD (past) Authorized official INTERNAL MEDICINE

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PCC Medical Holdings LLC (27 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renes.castor.1@32578.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2019.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1407830995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 N HAVERHILL RD STE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178338",
            "telephone_number": "561-478-7659",
            "fax_number": "877-317-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 N HAVERHILL RD STE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178338",
            "telephone_number": "561-478-7659",
            "fax_number": "877-317-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "RENES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME43329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in West Palm Beach, FL · Internal Medicine Physician in Florida