MEDICARE: DR. JUAN CESAR FERNANDEZ CASTILLO MD

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	207R00000X	Internal Medicine Physician	5315056786	MI

General Provider Information

NPI Number	:	1285989848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN CESAR FERNANDEZ CASTILLO MD

Provider Business Mailing Address
First Line	:	1801 NW 9TH AVE STE 700
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1100
Country	:	US
Telephone Number	:	305-355-1035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 NW 9TH AVE STE 700
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1100
Country	:	US
Telephone Number	:	305-355-1035
Fax Number	:

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

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	12/18/2022

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Directions to “ DR. JUAN CESAR FERNANDEZ CASTILLO MD” Practice Location

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