Organization Active NPI

Ana M Castellanos MD PA

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1891978201
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME80335 Issued in FL
Legal business name
ANA M CASTELLANOS MD PA
Practice address
1450 Madruga Ave
Suite #201
Coral Gables, FL 33146-3148
Phone
(305) 663-0213
Fax
(305) 663-1856
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Dr. Ana Marietta Castellanos, M.D.
Title
Owner
Phone
(305) 663-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME80335 FL Primary

Addresses

Primary practice location

1450 Madruga Ave
Suite #201
Coral Gables, FL 33146-3148

Mailing address

1450 Madruga Ave
Suite #201
Coral Gables, FL 33146-3148
Phone (305) 663-0213

Other identifiers 1

IdentifierTypeStateIssuer
43192ZOtherFLMEDICARE NUMBER

Other names 1

  • Marietta Castellanos MD Other name

National Provider Directory

National Provider Directory

Locations

1450 Madruga Ave
Ste 201
Coral Gables, FL 33146
Phone (304) 772-0481

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1891978201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MADRUGA AVE",
            "address_2": "SUITE #201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463148",
            "telephone_number": "305-663-0213",
            "fax_number": "305-663-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MADRUGA AVE",
            "address_2": "SUITE #201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463148",
            "telephone_number": "305-663-0213",
            "fax_number": "305-663-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA M CASTELLANOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "ANA MARIETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-663-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME80335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "43192Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Castellanos MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.