Mrs Evelyn Theresa Castillo-fundora, LSP, EDS is a
Psychologist - School based in Miami, Florida. Mrs Evelyn Theresa Castillo-fundora is licensed to practice in Florida (license number SS1395) and her current practice location is
13101 Sw 84th St, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 302-4776.
NPI number for Mrs Evelyn Theresa Castillo-fundora is 1447817556 and her current mailing address is 13101 Sw 84th St, Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447817556.
Healthcare Provider's Profile
Full Name | Mrs Evelyn Theresa Castillo-fundora |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 13101 Sw 84th St, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447817556
- Provider Enumeration Date: 05/23/2019
- Last Update Date: 01/12/2022
Medical Identifiers
Medical identifiers for Mrs Evelyn Theresa Castillo-fundora such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447817556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | IMH21845 (Florida) | Secondary |
103TS0200X | Psychologist - School | SS1395 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Evelyn Theresa Castillo-fundora is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Evelyn Theresa Castillo-fundora, LSP, EDS 13101 Sw 84th St, Miami, FL 33183-4323 Ph: (305) 302-4776 | Mrs Evelyn Theresa Castillo-fundora, LSP, EDS 13101 Sw 84th St, Miami, FL 33183-4323 Ph: (305) 302-4776 |
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