Neurcog Miami Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9350825 Issued in FL

Legal business name

NEURCOG MIAMI CORP

Practice address

1330 SW 22ND St Ste 209
Miami, FL 33145-2933

Phone

(786) 483-8381

Fax

(305) 503-5405

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Carlos Andres Castillo, ARNP

Title

President/Owner

Phone

(786) 483-8381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1578000477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452933",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452933",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13055 SW 42nd St",
            "address_2": "SUITE 208-A",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753406",
            "country_code": "US",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Monterey St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "33134",
            "country_code": "US",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURCOG MIAMI CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-483-8381",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9350825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020979600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.