MEDICARE: LOURDES CASTELLANOS-REYES

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	376K00000X	Nurse's Aide	339312	FL

General Provider Information

NPI Number	:	1982554754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES CASTELLANOS-REYES

Provider Business Mailing Address
First Line	:	36531 SMITHFIELD LN
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33541-4831
Country	:	US
Telephone Number	:	813-785-1463
Fax Number	:

Provider Business Practice Location Address
First Line	:	36531 SMITHFIELD LN
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33541-4831
Country	:	US
Telephone Number	:	813-785-1463
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ LOURDES CASTELLANOS-REYES ” Practice Location

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