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Sidfred Castro Pelayo, MD

Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).

NPI number1104749381
StatusActive
Last updated in NPPESAug 3, 2026

Details

NPI
1104749381
Entity type
Individual (NPI-1)
Name
Sidfred Castro Pelayo
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2026
Certification date
Jul 22, 2026
Last updated
Aug 3, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

111 East 210th St Bronx
New York, NY 10467

Phone 718-920-4321

Mailing address

530 E 236th St Apt 5c
Bronx, NY 10470-2346

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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