Mauricio Jose Castellon, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME81968 Issued in FL

Practice address

1499 S Harbor City Blvd
Ste 301
Melbourne, FL 32901

Phone

(321) 729-9909

Fax

(321) 728-0288

NPI assigned

Apr 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mcastellon71556@epicdirect.hf.org

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1881658144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 S HARBOR CITY BLVD",
            "address_2": "STE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-729-9909",
            "fax_number": "321-728-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 S HARBOR CITY BLVD",
            "address_2": "STE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-729-9909",
            "fax_number": "321-728-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLON",
        "first_name": "MAURICIO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME81968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51232",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Natalie Casey, APRN
• Kory Casey, P.A.
• Theresa A Cashman, LCSW
• Arturo Almonte Casingal, PT
• Jocelyn Chan Casingal, PT
• Maverick Anthony Castellucci
• Dionne Docile Casthely, DO
• Lisandra Castillo Llanes, APRN
• Anna Castillo, PT
• Castle 1St Dental Care PA

• Plastic and Reconstructive Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.