Provider Demographics
NPI:1992022875
Name:KENIA CASTRO M.D. PA
Entity Type:Organization
Organization Name:KENIA CASTRO M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D
Authorized Official - Prefix:DR
Authorized Official - First Name:KENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-519-4916
Mailing Address - Street 1:331 NW 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4108
Mailing Address - Country:US
Mailing Address - Phone:305-519-4916
Mailing Address - Fax:305-779-7382
Practice Address - Street 1:8720 N KENDALL DR
Practice Address - Street 2:SUITE 211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2299
Practice Address - Country:US
Practice Address - Phone:305-412-6034
Practice Address - Fax:305-779-7382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1012592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty