MEDICARE: RENES CASTOR MD PA

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	ME43329	FL

General Provider Information

NPI Number	:	1427199652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENES CASTOR MD PA

Provider Business Mailing Address
First Line	:	1525 STONEHAVEN ESTATES DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6621
Country	:	US
Telephone Number	:	561-478-7659
Fax Number	:	877-317-6158

Provider Business Practice Location Address
First Line	:	3933 HAVERHILL RD N STE 115
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-7424
Country	:	US
Telephone Number	:	561-478-7659
Fax Number	:	877-317-6158

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RENES CASTOR
Credential	:	MD
Telephone Number	:	561-478-7659

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	08/22/2020

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