Provider Demographics
NPI:1023299104
Name:MONTALVAN-CASTRO, CANDIDA (PHARM- D)
Entity type:Individual
Prefix:DR
First Name:CANDIDA
Middle Name:
Last Name:MONTALVAN-CASTRO
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 1:10431 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3745
Mailing Address - Country:US
Mailing Address - Phone:305-222-2000
Mailing Address - Fax:305-222-2084
Practice Address - Street 1:10431 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3745
Practice Address - Country:US
Practice Address - Phone:305-222-2000
Practice Address - Fax:305-221-2084
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-17
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist