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IVAN D CASTANO MD
NPI 1649144122
Family Medicine in Hialeah, FL

Active since September 30, 2025CLIA 10D2004848 · Waiver
4204 W 12TH AVE, HIALEAH, FL 33012(305) 556-3818(305) 557-7675 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan D Castano Md NPPES

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

IVAN D CASTANO MD (NPI 1649144122) is a healthcare organization registered as a family medicine in Hialeah, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Ivan Dario Castano, Md, as its authorized official.

NPPES Registry Identity

NPI1649144122
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIVAN D CASTANO MD
Location Address4204 W 12TH AVEHialeah, FL 33012-4158
Mailing Address4204 W 12th AveHialeah, FL 33012-4158 · (305) 556-3818 · Fax (305) 557-7675
Phone(305) 556-3818
Fax(305) 557-7675
Organization SubpartNo
Authorized OfficialIvan Dario CastanoMd · (305) 556-3818
Enumeration DateSeptember 30, 2025
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1649144122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4204 W 12TH AVE, Hialeah, FL 33012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2004848

Ivan Castano MD PA · Hialeah, FL
Active · expires Mar 14, 2028
CLIA Number10D2004848
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorIvan D. Castano
Laboratory Phone(305) 556-3818
Laboratory LocationIvan Castano MD PA4204 W 12th Ave, Hialeah, FL 33012
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. IVAN DARIO CASTANO M.D
Family Medicine
4204 W 12TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 556-3818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan D Castano MD's NPI number?

The NPI number for Ivan D Castano MD is 1649144122. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Ivan D Castano MD located?

Ivan D Castano MD is located at 4204 W 12th Ave, Hialeah, FL 33012. The listed phone number is (305) 556-3818.

What is Ivan D Castano MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ivan D Castano MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2004848) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ivan D Castano MD was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.