Provider Demographics
NPI:1316231640
Name:CASTANEDA, BELKIS LILIANA (PHARM D)
Entity Type:Individual
Prefix:
First Name:BELKIS
Middle Name:LILIANA
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 W 37TH ST
Mailing Address - Street 2:T-2109
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4687
Mailing Address - Country:US
Mailing Address - Phone:305-507-0015
Mailing Address - Fax:305-507-0015
Practice Address - Street 1:1750 W 37TH ST
Practice Address - Street 2:T-2109
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4687
Practice Address - Country:US
Practice Address - Phone:305-507-0015
Practice Address - Fax:305-507-0015
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist