Samir Alexander Castellon Castellon II, PHD, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10776141 Issued in FL

Practice address

1141 SW 10TH St Rear
Miami, FL 33130-3611

Phone

(305) 522-7217

Fax

(907) 313-1400

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• MD Samir Castellon

  • General Practice Physician
  • Miami, FL
  • NPI 1104525443
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1831898030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 SW 10TH ST REAR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303611",
            "telephone_number": "305-522-7217",
            "fax_number": "907-313-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SW 10TH ST REAR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303611",
            "telephone_number": "305-522-7217",
            "fax_number": "907-313-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLON CASTELLON",
        "first_name": "SAMIR",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "10776141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Castellanos
• Yanet Mercedes Castellanos
• Adriana Castellar
• Alain Castellat, APRN
• Yuvy Leidy Castellon Cabrera
• Yaima Castellon Garcia
• Castellon Investments Inc
• Gunther Castellon Picado, CRNA
• Barbara Castellon, RBT
• Blanca E. Castellon, APRN

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.