Provider Demographics
NPI:1053661546
Name:PATRICIA CASTELLANOS MATEUS
Entity Type:Organization
Organization Name:PATRICIA CASTELLANOS MATEUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE HOSPITALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLANOS MATEUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-499-9065
Mailing Address - Street 1:300 S BISCAYNE BLVD APT 3502
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-5380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:860
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-604-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123678282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital