| Irelis Rodriguez Castro, MD | |
|
110 Pond Ct, Ste 301 And 302, Debary, FL 32713-3234 | |
| (000) 000-0000 | |
| (818) 337-1454 |
| Full Name | Irelis Rodriguez Castro |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 15 Years |
| Location | 110 Pond Ct, Debary, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356714661 | NPI | - | NPPES |
| ACN881 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 19228 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN881 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Entity Name | Premier Physician Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073396073 PECOS PAC ID: 2466816319 Enrollment ID: O20230912001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Irelis Rodriguez Castro, MD 110 Pond Ct, Ste 301 And 302, Debary, FL 32713-3234 Ph: () - | Irelis Rodriguez Castro, MD 110 Pond Ct, Ste 301 And 302, Debary, FL 32713-3234 Ph: (000) 000-0000 |
Dr. Stephanie Gonzales, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 971-500-4286 | |
Dr. Hamidreza Ebneshahidi, MD General Practice Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 386-259-4258 Fax: 877-569-2113 |