MEDICARE: ELISA GEOVANIA CASTRO GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1124955216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISA GEOVANIA CASTRO GARCIA

Provider Business Mailing Address
First Line	:	1205 4TH ST
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3707
Country	:	US
Telephone Number	:
Fax Number	:	986-997-1192

Provider Business Practice Location Address
First Line	:	1205 4TH ST
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3707
Country	:	US
Telephone Number	:	305-434-7660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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