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NPI Code Detail

MEDICARE: SULEIDY CASTILLO FERNANDEZ

MEDICARE:   SULEIDY  CASTILLO FERNANDEZ
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
1390200000XStudent in an Organized Health Care Education/Training ProgramC662-177-42635-0FL

General Provider Information

NPI Number : 1457277410
Entity Type Code : Individual
Provider Name (Legal Business Name) : SULEIDY CASTILLO FERNANDEZ
Provider Business Mailing Address
First Line : 18515 NW 52ND PATH
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-5302
Country : US
Telephone Number : 786-715-1680
Fax Number :
Provider Business Practice Location Address
First Line : 18515 NW 52ND PATH
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-5302
Country : US
Telephone Number : 786-715-1680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ SULEIDY CASTILLO FERNANDEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.