=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871308106
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D&D HEALTH SOLUTIONS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2025
-----------------------------------------------------
Last Update Date | 06/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16340 NW 59TH AVE STE 203
-----------------------------------------------------
City | MIAMI LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33014-5601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-614-5777
-----------------------------------------------------
Fax | 305-394-9546
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 44 NW 136TH PL
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33182-1900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-271-2695
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | JOSE E CASTRO GUEVARA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 915-271-2695
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------