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.
Primary Taxonomy
| Taxonomy Code | 2084P0804X   Primary Taxonomy CodeThe 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. |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Child & Adolescent Psychiatry |
| License No. | ME126716 |
| License State | FL |
| 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. |
Business Address
JUAN LUIS CASTRO CORDOBA
2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406
Phone: (501) 616-8411
Map Location
Mailing Address
JUAN LUIS CASTRO CORDOBA
2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406
Phone: (501) 616-8411
Medicare Participation
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 |
|---|---|---|---|---|---|---|---|
| 1 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 045551 | CT | No |
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. | |||||||
| 2 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | E-6076 | AR | No |
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 |
|---|---|---|
| 5H807 | MEDICARE 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 |
|---|---|---|---|
| 1053766212 | MICHELLE DIAZ NAZARIO M.D Individual | Counselor (Mental Health) | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1134529605 | LOURDES MERCEDES Individual | Counselor (Mental Health) | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (646) 314-2705 |
| 1215395538 | FRITZ ALEXANDRE Individual | Case Manager/Care Coordinator | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1255873022 | MARCUS DWAYNE LAWS BS Individual | Case Manager/Care Coordinator | 2640 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 Coordinator | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1356892798 | MS. JOHANNA ZOE LESTER B.S Individual | Case Manager/Care Coordinator | 2640 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 Coordinator | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (850) 228-0100 |
| 1477971539 | DIAGNOSTIC 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 Coordinator | 2640 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 Coordinator | 2640 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 |
| 1700244902 | MRS. MARIA ROBERTS Individual | Counselor (Mental Health) | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1740344001 | AIMEE LYNN TISCHUK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1861855199 | VERONICA BERNAL Individual | Case Manager/Care Coordinator | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (561) 616-8411 |
| 1912203571 | MS. SUSSI F. PEREZ M.S.,M.ED. LMHC Individual | Counselor (Mental Health) | 2640 FOREST HILL BLVD WEST PALM BEACH, FL 33406 (401) 245-7995 |