Individual provider · Type 1 NPI

Jesus Enrique Guarecuco Castillo, MD

Student in an Organized Health Care Education/Training Program · South Miami, FL

NPI number 1477049666 Active

Practice location

7031 SW 62nd Ave
South Miami, FL 33143-4701

Call (305) 284-7761 Map

Mailing address

4025 Burke Rd Apt 2403
Pasadena, TX 77504-3484

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X18-280 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477049666

Jesus Enrique Guarecuco Castillo, MD's National Provider Identifier is 1477049666, issued on Jul 10, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Miami, FL. The record was last updated on Apr 7, 2022.