MD SAMIR CASTELLON
NPI 1104525443
General Practice in Miami, FL

Active since February 27, 2023
1141 SW 10TH ST REAR, MIAMI, FL 33130(305) 522-7217(907) 313-1400 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2023, Mar 10, 2023, Mar 1, 2023 (3 updates tracked since 2023).

About Md Samir Castellon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MD SAMIR CASTELLON (NPI 1104525443), doing business as Samir Castellon, is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since February 2023. The organization lists Samir Alexander Castellon Castellon, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1104525443
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMD SAMIR CASTELLON
Location Address1141 SW 10TH ST REARMiami, FL 33130-3611
Mailing Address1141 Sw 10th St RearMiami, FL 33130-3611 · (305) 522-7217 · Fax (907) 313-1400
Fax(907) 313-1400
Organization SubpartNo
Authorized OfficialSamir Alexander Castellon CastellonOwner/ceo · (305) 522-7217
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1104525443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1141 SW 10TH ST REAR, Miami, FL 33130

Other Names 1

Former Legal Business NameSamir Castellon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1141 SW 10TH ST REAR
MIAMI, FL 33130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104525443, enumerated as an "organization" on February 27, 2023.

The provider is located at 1141 SW 10TH ST REAR MIAMI, FL 33130 and the phone number is (305) 522-7217.

General Practice with taxonomy code 208D00000X.