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General NPI Number Information
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NPI Number | 1093095697
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Entity Type | Organization
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Legal Business Name | RICARDO CASTRELLON MD PA
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7500 SW 8TH ST STE 301
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 786-928-0174
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Fax | 855-576-5103
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Provider Business Mailing Address
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Address Line | PO BOX 432242
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City | MIAMI
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State | FL
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Zip | 33243-2242
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Country | US
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Telephone | 786-928-0174
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Fax | 855-576-5103
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICARDO CASTRELLON
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Credential | MD
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Telephone | 305-665-8730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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