MEDICARE: CASTELLON DEL SOL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL11937	FL

General Provider Information

NPI Number	:	1184914855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASTELLON DEL SOL CORP

Provider Business Mailing Address
First Line	:	2141 16TH AVE SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-4338
Country	:	US
Telephone Number	:	239-601-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	2141 16TH AVE SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-4338
Country	:	US
Telephone Number	:	239-601-0168
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JULIO M DEL SOL-GARCIA
Credential	:
Telephone Number	:	239-384-3065

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	09/30/2022

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Directions to “CASTELLON DEL SOL CORP ” Practice Location

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