Provider Demographics
NPI:1891939385
Name:CASTILLO, ALVARO ERNESTO (MD)
Entity Type:Individual
Prefix:
First Name:ALVARO
Middle Name:ERNESTO
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALVARO
Other - Middle Name:ERNESTO
Other - Last Name:CASTILLO RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2326 S CONGRESS AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7614
Mailing Address - Country:US
Mailing Address - Phone:561-801-1223
Mailing Address - Fax:561-828-3974
Practice Address - Street 1:142 JOHN F KENNEDY DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-439-1500
Practice Address - Fax:561-439-9902
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126816208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017841000Medicaid
FL14598OtherDIMENSION
FLBKL2UOtherBCBS
FLP1045522OtherFREEDOM
FL017841000Medicaid
FL4845737OtherAETNA
FLP01698416OtherRR MEDICARE
FLP978948OtherOPTIMUM
FL5338772OtherCIGNA
FLIQ560ZMedicare PIN