Provider Demographics
NPI:1205927894
Name:NARVARTE, GUILLERMO CASTRO (MD)
Entity type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:CASTRO
Last Name:NARVARTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10472
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-0472
Mailing Address - Country:US
Mailing Address - Phone:239-947-4100
Mailing Address - Fax:239-992-4100
Practice Address - Street 1:9500 BONITA BEACH RD SE
Practice Address - Street 2:SUITE 111
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4698
Practice Address - Country:US
Practice Address - Phone:239-947-4100
Practice Address - Fax:239-992-4100
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL36984XMedicare PIN
FLI51777Medicare UPIN