Castellon Medical Center

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME90692 Issued in FL

Legal business name

CASTELLON MEDICAL CENTER

Practice address

16371 NW 67TH Ave
Miami Lakes, FL 33014-6044

Phone

(786) 332-4991

Fax

(786) 409-2037

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Orestes Castellon

Title

President

Phone

(305) 431-6315

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1447609888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16371 NW 67TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146044",
            "telephone_number": "786-332-4991",
            "fax_number": "786-409-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16371 NW 67TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146044",
            "telephone_number": "786-332-4991",
            "fax_number": "786-409-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTELLON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "CASTELLON",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-431-6315"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME90692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902275183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1780666750",
            "identifier": "1780666750",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Castellano, RD, RDN
• Ana Castellanos, M.S., CCC-SLP
• Cecilia Castellanos
• Julio Castellanos
• Tania Castellanos
• Brismay Castellon, ARNP
• Alexandra Castillo
• Elena Castillo
• Lidia Castillo, SLPA
• Maria Castillo

• Legal Medicine in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.