MEDICARE: RAMON CASTELLANOS M D P L

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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1144406398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMON CASTELLANOS M D P L

Provider Business Mailing Address
First Line	:	5101 SW 8 STREET
Second Line	:	2ND FLR
City	:	CORAL GABLES
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	305-443-2110
Fax Number	:	305-553-2359

Provider Business Practice Location Address
First Line	:	5101 SW 8TH ST
Second Line	:	2ND FLR
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2442
Country	:	US
Telephone Number	:	305-443-2110
Fax Number	:	305-553-2359

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	CLARA CASTRO
Credential	:
Telephone Number	:	305-553-7201

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	04/17/2008

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