MEDICARE: ROLANDO CASTILLO LMHC

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	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	MH 6329	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1215986906	OTHER	FL	1215986906
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215986906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDO CASTILLO LMHC

Provider Business Mailing Address
First Line	:	4544 SW 132ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3948
Country	:	US
Telephone Number	:	305-775-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3636
Country	:	US
Telephone Number	:	305-608-3383
Fax Number	:	786-534-7118

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	10/24/2023

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Directions to “ ROLANDO CASTILLO LMHC” Practice Location

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