Individual provider Active NPI

Magda Lisbet Castillo Reina, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1780204073
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME165587 Issued in FL
Practice address
10625 SW 139TH CT
Miami, FL 33186-3176
Phone
(305) 926-7154
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME165587 FL Primary

Addresses

Primary practice location

10625 SW 139TH CT
Miami, FL 33186-3176

Mailing address

10625 SW 139TH CT
Miami, FL 33186-3176

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000588 FL Practitioner - Psychiatry 6800337502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Lauderdale Hospital IncGroup PAC ID 7911983853, 10 clinicians

Practice addresses (Care Compare)

5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone (954) 734-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Liveliness Services Inc CurrentSince Feb 16, 2025 Accepting new patients
Fort Lauderdale Hospital Inc. Psychiatry CurrentSince Sep 1, 2024 Accepting new patients

Locations

5190 NW 167th St
Ste 309
Miami Lakes, FL 33014
Phone (305) 705-4289

5757 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 463-4321

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1780204073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 SW 139TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 SW 139TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863176",
            "telephone_number": "305-926-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO REINA",
        "first_name": "MAGDA",
        "middle_name": "LISBET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME165587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.