Healthcare Provider Details

I. General information

NPI: 1376034819
Provider Name (Legal Business Name): ISABEL CASTANO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST # 1209
MIAMI FL
33136
US

IV. Provider business mailing address

1120 NW 14TH ST RM 1213
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-978-5885
  • Fax: 305-243-3501
Mailing address:
  • Phone: 305-243-6660
  • Fax: 305-243-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: