Castellon, Ivan Ignacio
Castellon, Ivan Ignacio is an individual health care provider with primary practice located at 1611 Nw 12Th Ave West Wing 279, Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Castellon, Ivan Ignacio can be contacted via phone (305) 585-7878.Contact Information
Primary practice address
1611 Nw 12Th Ave West Wing 279
Miami FL 33136-1005
Phone: (305) 585-7878
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN11827 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME103365 | Florida |
Profile Details
NPI number | 1730376922 |
---|---|
LBN Legal business name | Castellon, Ivan Ignacio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 1st, 2007 |
Last updated | Jun 16th, 2017 - about 8 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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