Carlos Cesar Castillo Basso, APRN,FNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

11012978 Issued in FL

Practice address

9331 SW 6TH LN
Miami, FL 33174-2270

Phone

(786) 234-8810

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.castillo.basso.1@32578.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1710556618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 SW 6TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742270",
            "telephone_number": "786-234-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 SW 6TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742270",
            "telephone_number": "786-234-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO BASSO",
        "first_name": "CARLOS",
        "middle_name": "CESAR",
        "credential": "APRN,FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "11012978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "castillobasso@icloud.com",
            "affiliation": "N",
            "address_1": "9331 SW 6th Ln",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331742270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Castillero Associates Corp
• Luis Dayron Castillero Roche
• Jennifer Castillero Santana
• Yalilis Castillero
• Maria Castillo - Bale, M.D.
• Mariela Castillo Borde
• Isis Castillo Castillo
• Yaily Castillo Castillo
• Efrain Miguel Castillo Cordoba, M.D.
• Yoniel Castillo Cossio

• Adult Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Adult Medicine Physician in Florida

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