| Emilio Castaneda Md Pllc | |
|
2100 E Hallandale Beach Blvd Suite 202 Hallandale Beach FL 33009-3765 | |
| (954) 239-0578 | |
| (954) 239-0582 |
| Full Name | Emilio Castaneda Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Emilio Castaneda (OWNER) |
| Authorized Official Contact | 9542575117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio Castaneda Md Pllc 2100 E Hallandale Beach Blvd Suite 202 Hallandale Beach FL 33009-3765 Ph: (954) 239-0578 | Emilio Castaneda Md Pllc 2100 E Hallandale Beach Blvd Suite 202 Hallandale Beach FL 33009-3765 Ph: (954) 239-0578 |
| NPI Number | 1669767018 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 07/18/2011 |
| Medicare PECOS PAC ID | 2961670336 |
|---|---|
| Medicare Enrollment ID | O20110729000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669767018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Emilio E Castaneda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194858746 PECOS PAC ID: 2365421930 Enrollment ID: I20040716000667 |
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