Erick Castillo-Baca, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15247 Issued in PR

Practice address

9600 SW 8TH St Ste 18
Miami, FL 33174-2947

Phone

(305) 266-0600

Fax

(305) 266-2040

NPI assigned

Mar 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primary Physician Care PSC

  • General Practice Physician
  • San Juan, PR
  • NPI 1689810699
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1720057151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D31 CALLE TREVI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245021",
            "telephone_number": "788-308-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 18",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "305-266-0600",
            "fax_number": "305-266-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ZE12 Calle 36",
            "address_2": "Riverview",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009613930",
            "country_code": "US",
            "telephone_number": "787-269-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO-BACA",
        "first_name": "ERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARMENT OF HEALTH",
            "identifier": "ACN1148",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1720057151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Castillo Tamarit, MD
• Bryan Josue Castillo Victoriano, SA-C
• Raul Ernesto Castillo Yermenos, M.D
• Karime Hadassa Castillo Zaid
• Rosa P Castillo-Acosta, MD
• Evelyn Theresa Castillo-Fundora, L.S.P, ED.S
• Adis Belsy Castillo
• Adriana Castillo, APRN
• Alberto Castillo
• Alberto J Castillo, MEDICAL INTERPRETER

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.