Active NPI
Carlos A Castro Maldonado, O.D.
- Optometrist
- Corpus Christi, TX
National Provider Identifier
1881733640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 540
- Practice address
- 4802 Spid Dr
Corpus Christi, TX 78411-4202 - Phone
- (361) 992-6700
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 540 | PR | Primary |
Addresses
Primary practice location
4802 Spid Dr
Corpus Christi, TX 78411-4202
Mailing address
3902 Evis Dr
Corpus Christi, TX 78414
Phone (787) 380-6715
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100030 | Other | PA | LA CRUZ AZUL |
| 660614288 | Other | PR | COSVI |
| 890162 | Other | PR | MEDICARE Y MUCHO MAS |
| 7140015 | Other | PR | HUMANA HEALTH PLANS |
| 50662 | Other | PR | PMC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 540 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1881733640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 EVIS DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78414",
"telephone_number": "787-380-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 SPID DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114202",
"telephone_number": "361-992-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO MALDONADO",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "100030",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVI",
"identifier": "660614288",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "890162",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLANS",
"identifier": "7140015",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "50662",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.