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NPI Code Detail

MEDICARE: JORGE E CASTILLO

MEDICARE:   JORGE E CASTILLO
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
1225X00000XOccupational Therapist24746FL

General Provider Information

NPI Number : 1881125920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE E CASTILLO
Provider Business Mailing Address
First Line : 258 E 3RD ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4933
Country : US
Telephone Number : 786-376-7776
Fax Number :
Provider Business Practice Location Address
First Line : 258 E 3RD ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4933
Country : US
Telephone Number : 786-376-7776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 06/21/2024

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Directions to “ JORGE E CASTILLO ” Practice Location

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