Provider Demographics
NPI:1346509460
Name:CASTANEDA, SERGUEI ABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SERGUEI
Middle Name:ABEL
Last Name:CASTANEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SERGUEI
Other - Middle Name:ABEL
Other - Last Name:CASTANEDA OSPINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:20405 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1833
Mailing Address - Country:US
Mailing Address - Phone:305-946-1030
Mailing Address - Fax:305-946-1029
Practice Address - Street 1:20405 OLD CUTLER RD
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189
Practice Address - Country:US
Practice Address - Phone:305-946-1030
Practice Address - Fax:305-946-1029
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1542152085R0001X
PAMD4682962085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology