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JUAN LUIS CASTRO CORDOBA NPI 1003002106

NPI Profile

NPI: 1003002106
Provider Name: JUAN LUIS CASTRO CORDOBA
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406
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Phone: (501) 616-8411

Juan Luis Castro Cordoba is a healthcare provider in West Palm Beach, FL.The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Juan Luis Castro Cordoba NPI is 1003002106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2640 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406-931
Phone: (501) 616-8411

The NPI 1003002106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 9/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry045551CONNECTICUTNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryE-6076ARKANSASNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME126716FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15H807MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/8/2019

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.