Basic Information
| Provider Information | |||||||||
| NPI: | 1992022875 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KENIA CASTRO M.D. PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 331 NW 32ND AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331254108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055194916 | ||||||||
| FaxNumber: | 3057797382 | ||||||||
| Practice Location | |||||||||
| Address1: | 8720 N KENDALL DR | ||||||||
| Address2: | SUITE 211 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331762299 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054126034 | ||||||||
| FaxNumber: | 3057797382 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2010 | ||||||||
| LastUpdateDate: | 04/30/2010 | ||||||||
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| AuthorizedOfficialLastName: | CASTRO | ||||||||
| AuthorizedOfficialFirstName: | KENIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | D | ||||||||
| AuthorizedOfficialTelephone: | 3055194916 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | ME101259 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.