Castro Santiago, Marivil

Castro Santiago, Marivil is an individual health care provider with primary practice located at 1101 Nw 1St St , Fort Lauderdale FL 33311-8905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Castro Santiago, Marivil can be contacted via phone (954) 467-0880.

Contact Information

Primary practice address
1101 Nw 1St St Fort Lauderdale FL 33311-8905
Phone: (954) 467-0880
Fax: (954) 525-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9193452 Florida

Profile Details

NPI number 1700292042
LBN Legal business name Castro Santiago, Marivil
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Jan 13th, 2026 - about 10 months 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 1700292042 NPPES
Florida MEDICAID 018901600

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