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General NPI Number Information
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NPI Number | 1992301881
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Entity Type | Individual
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Provider Name | JOSE E CASTRO GUEVARA MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 16340 NW 59TH AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33014-5601
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Country | US
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Telephone | 305-789-8889
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Fax | 305-370-7288
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Provider Business Mailing Address
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Address Line | 44 NW 136TH PL
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City | MIAMI
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State | FL
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Zip | 33182-1900
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Country | US
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Telephone | 915-271-2695
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1326
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22106
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ACN1326
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License Number State | FL
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