JOSE ROBERTO CASTANEDA (NPI# 1346665130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346665130 |
| Entity Type | Individual |
| Full Name | JOSE ROBERTO CASTANEDA |
| Credential | MD |
| Practice Address |
1651 Se Tiffany Ave Port St Lucie FL 34952-7564 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7723981800 |
| Practice Fax Number | 7723981815 |
| Mailing Telephone | 7722232832 |
| Mailing Fax Number | 7723981800 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME139150 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME139150 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 053464 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1346665130 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 64 Robbins Street, Waterbury, CT 06721 | 2035736181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326181603 | Jose L Castaneda | Pediatrics | 1092 E Los Ebanos Blvd, Brownsville, TX 78520-9988 | 2007-02-15 |
| 1346392370 | Jose Aalberto Castaneda | Chiropractor | 718 N. Euclid Ave., Ontario, CA 91762-3427 | 2007-01-18 |
| 1912091695 | Jose Francisco Castaneda | Obstetrics & Gynecology | 250 Se 23rd Ave, Suite A, Boynton Beach, FL 33435 | 2006-10-03 |
| 1891784435 | Jose J Castaneda | Physician Assistant | 9869 Pines Blvd, Pembroke Pines, FL 33024-6100 | 2005-10-17 |
| 1073164745 | Jose Castaneda | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2019-09-24 |
| 1215491766 | Jose Castaneda | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-01-29 |
| 1306316872 | Jose Luis Castaneda | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2018-11-27 |
| 1346382629 | Jose Manuel Castaneda | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2007-02-13 |
| 1699840264 | Jose Castaneda | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2006-11-21 |
| Street Address |
1651 SE TIFFANY AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510939 | Isabel Teresa Casariego Cruz | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2005-07-06 |
| 1932561768 | Jennifer Butterfield Brody | Physician Assistant | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2016-03-22 |
| 1790160380 | Kathryn Smith | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952 | 2015-07-23 |
| 1922355619 | Daniel Kittman Saul | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2012-08-13 |
| 1992094791 | Rose Paccione | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2011-04-01 |
| 1649362260 | Robert Charkowick | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-09-29 |
| 1497853212 | Vivek Kaul | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-09-20 |
| 1548377450 | Sudhir K Nayer | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-08-24 |
| 1649288895 | Eric K Young | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-08-04 |
| 1609884899 | Kenneth J Urban | Family Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1871036236 | Treasure Coast Pulmonary Medicine, P.a. | Internal Medicine | 10380 Sw Village Center Dr, 319, Port St Lucie, FL 34987-1931 | 2016-12-02 |
| 1467924019 | Questcare Telehealth Florida LLC | Internal Medicine | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2018-12-20 |
| 1659738789 | Kamlesh P Pandya Md LLC | Internal Medicine | 8980 S Us Highway 1, Suite 101, Port St Lucie, FL 34952-3482 | 2016-01-20 |
| 1922355619 | Daniel Kittman Saul | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2012-08-13 |
| 1992094791 | Rose Paccione | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2011-04-01 |
| 1497853212 | Vivek Kaul | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025429 | Raja C Singh Md Pllc | Internal Medicine | 5901 Colonial Dr Ste 102, Margate, FL 33063-5672 | 2020-05-19 |
| 1851920508 | Rolkin Petit Homme | Internal Medicine | 736 Dogwood Rd, West Palm Beach, FL 33409-6139 | 2020-04-05 |
| 1386274520 | Shawna Marie Garito | Internal Medicine | 9299 Coral Reef Dr Ste 203, Palmetto Bay, FL 33157-1776 | 2020-01-15 |
| 1710494000 | Jacksonville Lung Clinic Pllc | Internal Medicine | 2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207-3633 | 2018-01-08 |
| 1699200295 | Intensivists United Inc. | Internal Medicine | 222 S Vernon Ave, Kissimmee, FL 34741-5667 | 2017-04-21 |
| 1164960969 | Mark Steven Cutler | Internal Medicine | 3350 Northeast 12th Avenue, Suite 23761, Fort Lauderdale, FL 33307-9997 | 2017-02-01 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1942691209 | Viral Patel | Internal Medicine | 1121 N Central Avenue, Kissimmee, FL 34741 | 2015-02-09 |
| 1093132292 | Sigmund Joseph Paczkowski | Internal Medicine | 7000 Sw 62nd Ave Ste 201, South Miami, FL 33143-4716 | 2014-03-25 |
| 1275826133 | Kerry Elizabeth Spero | Internal Medicine | 8725 N Wickham Rd Ste 203, Melbourne, FL 32940-2240 | 2011-05-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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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.