| Jorge Luis Castaneda, MD | |
|
1055 N Dixie Fwy Ste 1, New Smyrna Beach, FL 32168-6200 | |
| (386) 423-0505 | |
| (386) 423-0515 |
| Full Name | Jorge Luis Castaneda |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1055 N Dixie Fwy Ste 1, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932425865 | NPI | - | NPPES |
| 114852900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME157715 (Florida) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 157715 (Mississippi) | Primary |
| Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Luis Castaneda, MD 1055 N Dixie Fwy Ste 1, New Smyrna Beach, FL 32168-6200 Ph: (386) 423-0505 | Jorge Luis Castaneda, MD 1055 N Dixie Fwy Ste 1, New Smyrna Beach, FL 32168-6200 Ph: (386) 423-0505 |
Dr. Kenneth M Simon, D.O. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4255 Boy Scout Camp, New Smyrna Beach, FL 32168 Phone: 386-478-1977 | |
Gaurav Ahluwalia, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-206-5908 | |
Dr. Tanuja Nimish Nemani, M.D.,M.P.H Nephrology Medicare: Accepting Medicare Assignments Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-424-5000 Fax: 386-767-0471 | |
Nathan Andrew, DO Nephrology Medicare: Medicare Enrolled Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-424-5140 Fax: 317-705-5047 | |
Dr. William Rengifo Cam, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 501 Live Oak St Ste B, New Smyrna Beach, FL 32168 Phone: 386-424-5248 Fax: 386-424-5209 | |
Dr. Gregory James Mercurio, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 223 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-427-8008 Fax: 386-423-0355 | |
Victor Hugo Camba, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-424-5000 |