Sport Medical Center Corp
NPI 1235421876ActiveOrganization· General Practice· Virginia Gardens, FL
General Practice in Virginia Gardens, Florida, registered in NPPES in May 2011. The authorized official on file is Hisela Castro, President.
Overview
| NPI | 1235421876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2011 |
| Last updated in NPPES | May 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | HCC9156 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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