Organization
CASTILLO MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUREILIS P CARRASCO (PRESIDENT)
(305) 871-8076
Entity
Organization
Contact information
Practice address
6355 NW 36TH ST, SUITE 502A, VIRGINIA GARDENS, FL 33166-7027
(305) 871-8076
(305) 871-8077
Mailing address
6355 NW 36TH ST, SUITE 502A, VIRGINIA GARDENS, FL 33166-7027
(305) 871-8076
(305) 871-8077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME 2231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32: 04157
OXYGENT LICENSE
FL
01
—
LIC 2231
ACHA HME LICENSE
FL
Enumeration date
10/23/2006
Last updated
06/12/2008
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