Organization Active NPI

Manuel a Castro MD PA

  • Internal Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1720295462
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72728 Issued in FL
Legal business name
MANUEL A CASTRO MD PA
Practice address
1881 NE 26TH St
Suite 40
Wilton Manors, FL 33305-1416
Phone
(954) 567-2488
Fax
(954) 567-2490
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Manuel A Castro, MDNPI 1598752602
Title
President
Phone
(954) 567-2488

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME72728 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Suite 40
Wilton Manors, FL 33305-1416

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

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

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1720295462",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A CASTRO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-567-2488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.