Eduardo Jose Vejas Castillero Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

577 Issued in FL

Practice address

6245 66TH St N # M
Pinellas Park, FL 33781-5025

Phone

(727) 873-3891

Fax

(727) 873-3892

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miami Beach Medical Consultants, LLC.

  • General Practice Physician
  • Miami Beach, FL
  • NPI 1891032819

  Family Medicine

  Medicare reassignment NPD
• Cossma Inc

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1437235793
  Medicare reassignment

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1568411643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 INTERBAY BLVD",
            "address_2": "APT #308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161706",
            "telephone_number": "727-873-3891",
            "fax_number": "727-873-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 66TH ST N # M",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-873-3891",
            "fax_number": "727-873-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEJAS CASTILLERO",
        "first_name": "EDUARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14064",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Johanna Valdez, MA CAP
• Sarah Marie Van Camp, MA
• Van Goghs Palette Inc.
• Cang Cong Van, PHARMD
• Laura Varley
• Vanessa Velazquez Ruiz, MD
• Sara Velez
• Destiny Leigh Verdi
• Sandra Vidal, M.S.
• Julio Viera, MA

• Family Medicine Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.