MEDICARE: LUIS CASTANO 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	207Q00000X	Family Medicine Physician	ME94830	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952485799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS CASTANO MD

Provider Business Mailing Address
First Line	:	3448 NW 79TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3448 NW 79TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4602
Country	:	US
Telephone Number	:	786-949-6347
Fax Number	:	866-285-7068

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	03/21/2025

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Directions to “ LUIS CASTANO MD” Practice Location

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