Active NPI
Carlos Castillo
- Family Nurse Practitioner
- Christiansted, VI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9350825
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9350825 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virgin Islands Diabetes Center of Excellence Inc | Current | Accepting new patients | |
| Gentle Care Home Health, LLC | Past | Accepting new patients | |
| Angelica Medical Supply Corp | Past | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Christiansted, VI
- NPI 1649975970
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1275158685
-
- Home Health Agency
- Hialeah, FL
- NPI 1063445583
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.