MEDICARE: JUAN G. CASTILLO M.D.

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	207Q00000X	Family Medicine Physician	M1042	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8BU383	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1457333411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN G. CASTILLO M.D.

Provider Business Mailing Address
First Line	:	4700 MILLENIA BLVD STE 650
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6013
Country	:	US
Telephone Number	:	407-533-6836
Fax Number	:	407-232-9316

Provider Business Practice Location Address
First Line	:	3601 S BUSINESS HIGHWAY 281
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-0287
Country	:	US
Telephone Number	:	956-271-0131
Fax Number	:	888-815-0809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/17/2026

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