JUAN LUIS CASTRO CORDOBA NPI 1003002106

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

Individual Male Psychiatry & Neurology Child & Adolescent Psychiatry PECOS Enrolled

About JUAN LUIS CASTRO CORDOBA

Juan Luis Castro Cordoba is a provider established in West Palm Beach, Florida and his medical specialization is psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Juan Luis Castro Cordoba is 1003002106 and was assigned on September 2007. The practitioner's primary taxonomy code is 2084P0804X with license number ME126716 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Juan Luis Castro Cordoba is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Juan Luis Castro Cordoba is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

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
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

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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
1326570433 FRANCESCA GIAMBELUCA M. B. A.
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
1366970006 OSCAR DAVID GRAJALES JR.
Individual
Case Manager/Care Coordinator2640 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.