Individual provider Active NPI

Ivette Castro

  • Licensed Practical Nurse
  • Orlando, FL
National Provider Identifier
1821575739
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
62016 Issued in PR
Practice address
515 Villa del Sol Cir Apt 104
Orlando, FL 32824-9461
Phone
(939) 277-7374
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 62016 PR Primary

Addresses

Primary practice location

515 Villa del Sol Cir Apt 104
Orlando, FL 32824-9461

Mailing address

515 Villa del Sol Cir Apt 104
Orlando, FL 32824-9461

Other practice location 1

433 Calle 9
Bo limones Parcelas Martorell
Yabucoa, PR 00767
Phone (939) 277-7374

Other identifiers 1

IdentifierTypeStateIssuer
M535403788420OtherFLDRIVER LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62016PRMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1821575739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VILLA DEL SOL CIR APT 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328249461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VILLA DEL SOL CIR APT 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328249461",
            "telephone_number": "939-277-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Calle 9",
            "address_2": "Bo limones Parcelas Martorell",
            "address_purpose": "LOCATION",
            "city": "Yabucoa",
            "state": "PR",
            "postal_code": "00767",
            "country_code": "US",
            "telephone_number": "939-277-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "IVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "62016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "M535403788420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.