Healthcare Provider Details

I. General information

NPI: 1467380642
Provider Name (Legal Business Name): HELEN CELINE MARTINEZ CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 N FEDERAL HWY STE 324
POMPANO BEACH FL
33064-6563
US

IV. Provider business mailing address

1459 HAWTHORNE PL
WELLINGTON FL
33414-8661
US

V. Phone/Fax

Practice location:
  • Phone: 561-299-4816
  • Fax: 561-299-4917
Mailing address:
  • Phone: 210-760-6278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-446434
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: