Organization Active NPI

Florida Aesthetics and Comprehensive Therapeutic Services

  • Surgery Physician
  • South Miami, FL
National Provider Identifier
1669215547
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FLORIDA AESTHETICS AND COMPREHENSIVE THERAPEUTIC SERVICES
Practice address
7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728
Phone
(786) 928-0174
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Ricardo Castrellon, MD
Title
Owner
Phone
(516) 698-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728

Mailing address

9100 SW 114TH St
Miami, FL 33176-4330
Phone (786) 928-0174

National Provider Directory

National Provider Directory

Locations

7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1669215547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SW 114TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764330",
            "telephone_number": "786-928-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434728",
            "telephone_number": "786-928-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AESTHETICS AND COMPREHENSIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CASTRELLON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-698-3688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.