MEDICARE: MICHEL CASTILLO MADRIGAL APRN

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	363LF0000X	Family Nurse Practitioner	F01201439	FL
2	208VP0014X	Interventional Pain Medicine Physician	APRN11006106	FL

General Provider Information

NPI Number	:	1710519665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHEL CASTILLO MADRIGAL APRN

Provider Business Mailing Address
First Line	:	9025 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	786-394-0632
Fax Number	:

Provider Business Practice Location Address
First Line	:	9025 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	786-394-0632
Fax Number	:

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

Provider Enumeration Date	:	02/09/2020
Last Update Date	:	01/05/2026

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