Healthcare Provider Details

I. General information

NPI: 1508581018
Provider Name (Legal Business Name): ANGEL A CASTRO DNP,APRN,FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 11/04/2024
Certification Date: 11/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 N KROME AVE
HOMESTEAD FL
33030-3232
US

IV. Provider business mailing address

4161 W 2ND AVE
HIALEAH FL
33012-4421
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-0222
  • Fax: 305-266-0848
Mailing address:
  • Phone: 786-223-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11014778
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11014778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: