Provider Demographics
NPI:1427082114
Name:CASTANES, STRATEGO MARIA (MD)
Entity type:Individual
Prefix:
First Name:STRATEGO
Middle Name:MARIA
Last Name:CASTANES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 SW 88TH ST
Mailing Address - Street 2:SUITE # 218
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-596-6008
Mailing Address - Fax:305-596-6120
Practice Address - Street 1:8740 SW 88TH ST
Practice Address - Street 2:SUITE218
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-596-6008
Practice Address - Fax:305-596-6120
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME96059207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH57727Medicare UPIN