Provider Demographics
NPI:1427052901
Name:CASTRO, ARTURO RAFAEL (MD)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:RAFAEL
Last Name:CASTRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 TREASURE COAST PLAZA, SUITE A #356
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:321-301-1692
Mailing Address - Fax:321-301-1691
Practice Address - Street 1:1019 HARVIN WAY STE 120
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3286
Practice Address - Country:US
Practice Address - Phone:321-301-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90073207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43242OtherFLORIDA BLUE
FL269654100Medicaid
FL43242OtherBCBS
FL269654100Medicaid
FL43242OtherFLORIDA BLUE
FL43242UMedicare PIN
FL43242XMedicare PIN