JUAN LUIS CASTRO CORDOBA NPI 1003002106

Psychiatry & Neurology (Child & Adolescent Psychiatry) in West Palm Beach, FL

About JUAN LUIS CASTRO CORDOBA

Juan Luis Castro Cordoba is a provider in West Palm Beach, FL with more than 18 years of experience. The NPI number assigned to this provider is 1003002106. The practitioner's primary taxonomy code is Psychiatry & Neurology (2084P0804X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Juan Luis Castro Cordoba is registered with Medicare and accepts claims assignment.

NPI

1003002106

Provider Name JUAN LUIS CASTRO CORDOBA
Provider Location Address2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406
Provider Mailing Address2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2007
Last Update Date09-21-2016

Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
License No.ME126716
License StateFL
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

JUAN LUIS CASTRO CORDOBA
2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406
Phone: (501) 616-8411

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Mailing Address

JUAN LUIS CASTRO CORDOBA
2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406
Phone: (501) 616-8411

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry045551CTNo

Taxonomy Description: child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

22084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryE-6076ARNo

Taxonomy Description: child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5H807MEDICARE PIN (08)AR

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023552593MR. JOSEPH ALMEIDA
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
PALM SPRINGS, FL 33406
(888) 975-3422
1215395538 FRITZ ALEXANDRE
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1235674979MRS. TIFFANY ANNE YAKER M.S.
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1255873022 MARCUS DWAYNE LAWS BS
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(828) 242-4360
1265974612 JENNIFER MARCHENA
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1316382567 BEATRIZ BALLADARES M.S.
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1356892798MS. JOHANNA ZOE LESTER B.S
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1366783979 VALERIE O RIVERA-PULLEN LCSW
Individual
Social Worker (Clinical)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1437691631 DANIELA RESTREPO M.S
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1447607783 CHAKA MULL
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(850) 228-0100
1477971539DIAGNOSTIC CENTER OF PALM BEACH INC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 281-8480
1518418847 LUCIA TERESA ORELLANA
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1528387024 BERTY TORREZ
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1598110769 NELSIE DAVILA CORREA
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1649637927 CARMEN NIJEM
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1700029618 MARIUXI MEJIA
Individual
Social Worker (Clinical)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(772) 971-1363
1700244902MRS. MARIA ROBERTS
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1861855199 VERONICA BERNAL
Individual
Case Manager/Care Coordinator2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 616-8411
1912203571MS. SUSSI F. PEREZ M.S.,M.ED. LMHC
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(401) 245-7995
1922548791 ALEXIA MARCELLINO RCSWI
Individual
Counselor (Mental Health)2640 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
(561) 444-5385

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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