Active NPI
Ivan D Castano MD
- Family Medicine Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IVAN D CASTANO MD
- Practice address
- 4204 W 12TH Ave
Hialeah, FL 33012-4158 - Phone
- (305) 556-3818
- Fax
- (305) 557-7675
- NPI assigned
- Sep 30, 2025
- Last updated
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Dario Castano, MD
- Title
- MD
- Phone
- (305) 556-3818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4204 W 12TH Ave
Hialeah, FL 33012-4158
Mailing address
4204 W 12TH Ave
Hialeah, FL 33012-4158
Phone (305) 556-3818
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2004848 | Ivan Castano MD PA | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
4204 W 12th Ave
Hialeah, FL 33012
Phone (305) 556-3818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1649299652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1649144122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 W 12TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124158",
"telephone_number": "305-556-3818",
"fax_number": "305-557-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 W 12TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124158",
"telephone_number": "305-556-3818",
"fax_number": "305-557-7675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVAN D CASTANO MD",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-30",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "CASTANO",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "DARIO",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "305-556-3818",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.