SERGIO CASTILLO (NPI# 1114906468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114906468 |
| Entity Type | Individual |
| Full Name | SERGIO CASTILLO |
| Credential | MD |
| Practice Address |
1640 Nw 117th Ave Plantation FL 33323-2213 |
| Practice Telephone | 7862616006 |
| Mailing Telephone | 7862616006 |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0085124 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265035500 | 05 | |
| FL | BCBS | 13111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477863561 | Sergio Castillo Jr. | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2010-10-07 |
| 1174602866 | Sergio Alberto Castillo | Psychologist | 10421 S Figueroa St, Los Angeles, CA 90003-4423 | 2006-11-03 |
| 1295824878 | Sergio Humberto Castillo | Psychiatry & Neurology | 5001 N Piedras St, El Paso, TX 79930-4210 | 2006-10-12 |
| 1265460547 | Sergio A Castillo | Emergency Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-06-28 |
| 1043286347 | Sergio F Castillo | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| Street Address |
1640 NW 117TH AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33323-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366473 | Richards Medical Center, LLC | Internal Medicine | 499 Nw 70th Avenue, 220, Plantation, FL 33317-7500 | 2018-08-21 |
| 1487168688 | Mondona Shahrokh | Internal Medicine | 90 Sw 91st Ave Apt 104, Plantation, FL 33324-2559 | 2017-11-27 |
| 1932632890 | Dean Kalam Kalia | Internal Medicine | 11801 Nw 19th St, Plantation, FL 33323-2116 | 2017-04-07 |
| 1952740458 | North Broward Hospital District | Internal Medicine | 1811 N Pine Island Rd, Plantation, FL 33322-5207 | 2013-06-18 |
| 1467798587 | Ronald Friedman | Internal Medicine | 400 Nw 87th Ln, Apt 102, Plantation, FL 33324-8010 | 2012-12-18 |
| 1306180104 | Rma of Sunrise LLC | Internal Medicine | 1208 N University Dr Bldg 7, Plantation, FL 33322-4724 | 2012-11-16 |
| 1891094025 | Allan Martin Selbst | Internal Medicine | 1600 Nw 99th Ave, Plantation, FL 33322-4252 | 2011-03-28 |
| 1174843650 | Larry R Leichter | Internal Medicine | 699 Cardinal St, Plantation, FL 33324-8213 | 2010-06-07 |
| 1073750352 | Sondra Aiken | Internal Medicine | 810 S. State Rd 7, Plantation, FL 33317 | 2009-01-08 |
| 1982840336 | Yugandhar Kandimalla | Internal Medicine | 8021 W Broward Blvd, Plantation, FL 33324 | 2009-01-06 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33323 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.