Castaneda, Jose Roberto

Castaneda, Jose Roberto is an individual health care provider with primary practice located at 1651 Se Tiffany Ave , Port St Lucie FL 34952-7564. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Castaneda, Jose Roberto can be contacted via phone (772) 398-1800.

Contact Information

Primary practice address
1651 Se Tiffany Ave Port St Lucie FL 34952-7564
Phone: (772) 398-1800
Fax: (772) 398-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME139150 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 053464 Connecticut
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME139150 Florida

Profile Details

NPI number 1346665130
LBN Legal business name Castaneda, Jose Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2014
Last updated Oct 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346665130 NPPES
Florida Other 1346665130 NPI

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