Castillo'S MD Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CASTILLO'S MD SERVICES, LLC

Practice address

1530 Lee Blvd
Suitte 1600
Lehigh Acres, FL 33936-4893

Phone

(239) 369-2749

Fax

(239) 369-9158

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jessie Cepeda, RMA

Title

Office Manager

Phone

(239) 240-3005

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Edgardo Castillo Internal Medicine- ECIM Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Edgardo Castillo-Nieves, MD

  • Internal Medicine Physician
  • Lehigh Acres, FL
  • NPI 1508039819
  Medicare reassignment NPD
• Lianet Delia Leon Oliveros

  • Family Nurse Practitioner
  • Lehigh Acres, FL
  • NPI 1306433362
  Medicare reassignment NPD

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1922455104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 TROIA DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287304",
            "telephone_number": "239-369-2749",
            "fax_number": "239-369-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD",
            "address_2": "SUITTE 1600",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364893",
            "telephone_number": "239-369-2749",
            "fax_number": "239-369-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO'S MD SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-240-3005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CX526Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgardo Castillo Internal Medicine- ECIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yanelys Castillo Garcia, RBT-19-90944
• Celia Castillo Gonzalez
• Edgardo Castillo-Nieves, MD
• Estefania Castillo
• Osmaidy Castillo
• Maria Castro Boada
• Yulian Castro Dominguez
• Abdel Castro
• Leticia Castro, RBT
• Cci Billing Services LLC

• Internal Medicine Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.