Provider Demographics
NPI:1508699018
Name:CASTRO ALOS, MARCOS GIOVANNI (APRN)
Entity type:Individual
Prefix:
First Name:MARCOS
Middle Name:GIOVANNI
Last Name:CASTRO ALOS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 NW 7TH ST APT 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2225
Mailing Address - Country:US
Mailing Address - Phone:786-675-9828
Mailing Address - Fax:
Practice Address - Street 1:4705 NW 7TH ST APT 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2225
Practice Address - Country:US
Practice Address - Phone:786-675-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily