NEURCOG MIAMI CORP NPI 1578000477

NPI Information

  • NPI: 1578000477
  • Provider Name: NEURCOG MIAMI CORP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1330 SW 22ND ST STE 209
    MIAMI, FL
    ZIP 33145
  • Phone: (786) 483-8381

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NPI Details

NEURCOG MIAMI CORP is a family nurse practitioner in Miami, FL. NEURCOG MIAMI CORP NPI is 1578000477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1330 SW 22ND ST STE 209
MIAMI, FL
ZIP 33145-933
Phone: (786) 483-8381
Fax: (305) 503-5405

The provider's authorized official is Carlos Andres Castillo .
The authorized official title is President/owner and has the following contact phone number (786) 483-8381.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 3/23/2022.

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
1363LF0000XNurse PractitionerFamilyARNP9350825FLORIDAYes

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
1020979600MEDICAIDFLORIDA

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: 3/30/2025

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