Individual provider Active NPI

Carlos Castillo

  • Family Nurse Practitioner
  • Christiansted, VI
National Provider Identifier
1760835730
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9350825 Issued in FL
Practice address
4040 Estate la Grande Princesse Ste 3
Christiansted, VI 00820-5166
Phone
(305) 300-5856
Fax
(305) 503-5405
NPI assigned
Jul 14, 2016
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9350825 FL Primary

Addresses

Primary practice location

4040 Estate la Grande Princesse Ste 3
Christiansted, VI 00820-5166

Mailing address

4040 Estate la Grande Princesse Ste 3
Christiansted, VI 00820-5166
Phone (305) 300-5856

Other practice location 1

13055 SW 42nd St Ste 208A
Miami, FL 33175-3410
Phone (786) 483-8381

Other practice location 2

801 Monterey St Ste 205
Coral Gables, FL 33134
Phone (786) 483-8381

Other practice location 3

3380 NW 7th St
Miami, FL 33125-4104
Phone (305) 556-3222

Other practice location 4

1330 SW 22nd St Ste 209
Miami, FL 33145-2933
Phone (786) 483-8381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9350825FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virgin Islands Diabetes Center of Excellence Inc CurrentSince Jan 2, 2024 Accepting new patients
Gentle Care Home Health, LLC PastSince Apr 30, 2003 Accepting new patients
Angelica Medical Supply Corp PastSince Jan 15, 2020 Accepting new patients

Locations

4040 Estate La Grande Princesse
Ste 3
Christiansted, VI 00820
Phone (340) 208-0260

4100 Sion Farm Shopp Ctr
Ste 1
Christiansted, VI 00820
Phone (340) 718-3263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1760835730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESSE STE 3",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205166",
            "telephone_number": "305-300-5856",
            "fax_number": "305-503-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESSE STE 3",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205166",
            "telephone_number": "305-300-5856",
            "fax_number": "305-503-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13055 SW 42nd St Ste 208A",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753410",
            "country_code": "US",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Monterey St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "33134",
            "country_code": "US",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3380 NW 7th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331254104",
            "country_code": "US",
            "telephone_number": "305-556-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 SW 22nd St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331452933",
            "country_code": "US",
            "telephone_number": "786-483-8381",
            "fax_number": "305-503-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9350825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

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