Individual provider Active NPI

Manuel Angel Castro, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1598752602
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0073728 Issued in FL
Practice address
10011 Pines Blvd Ste 106
Pembroke Pines, FL 33024-6167
Phone
(954) 435-3333
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0073728 FL Primary

Addresses

Primary practice location

10011 Pines Blvd Ste 106
Pembroke Pines, FL 33024-6167

Mailing address

1881 NE 26TH St
Suite 40
Wilton Manors, FL 33305-1416
Phone (954) 567-2488

Other identifiers 1

IdentifierTypeStateIssuer
11494463OtherFLCAQH

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
I20051122000068 FL Practitioner - Internal Medicine 5597784488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Healthcare Centers, LPGroup PAC ID 5294064176, 12 clinicians

Practice addresses (Care Compare)

1874 W Hillsboro Blvd
Suite F
Deerfield Beach, FL 33442-1420
Phone (954) 698-6266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073728FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel a Castro MD PA Internal Medicine CurrentSince Aug 8, 2005 Accepting new patients
Premier Healthcare Centers, LP CurrentSince Aug 1, 2023 Accepting new patients
Karia Patel Stirling Health Center PA PastSince May 26, 2024 Accepting new patients

Locations

1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544

4330 Sheridan St
Ste 201B
Hollywood, FL 33021
Phone (954) 519-2201

10011 Pines Blvd
Ste 106
Pembroke Pines, FL 33024
Phone (954) 435-3333

4141 NW 5th St
Ste 102
Plantation, FL 33317
Phone (954) 744-0020

1881 NE 26th St
Ste 236
Wilton Manors, FL 33305
Phone (954) 566-4887

1881 NE 26th St
Ste 40
Wilton Manors, FL 33305
Phone (954) 567-2488

Interoperability endpoints

  • Direct secure messaging: manuel.castro.1@4307.direct.athenahealth.com

Organizations & group practices 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1598752602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 40",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-567-2488",
            "fax_number": "954-567-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD STE 106",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246167",
            "telephone_number": "954-435-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MANUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11494463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.