DR. CARLOS A. CARRILLO (NPI# 1104853951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104853951 |
| Entity Type | Individual |
| Full Name | DR. CARLOS A. CARRILLO |
| Credential | M.D. |
| Practice Address |
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-3585 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214348777 |
| Mailing Telephone | 3214348777 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME 0066715 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE HF | PENDING | 01 |
| FL | 376142800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 S Park Ave, Titusville, FL 327963377 | 3212680720 | 3213837596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449139 | Carlos Carrillo | Durable Medical Equipment & Medical Supplies | 111 Corte Mesa Ave, San Rafael, CA 94901-1303 | 2015-06-10 |
| 1326432139 | Carlos Carrillo | Technician, Other | 20325 Old Cutler Rd, Cutler Bay, FL 33189-1831 | 2015-03-19 |
| 1043568017 | Carlos Carrillo | Case Manager/Care Coordinator | 4202 W Idell St, Tampa, FL 33614-2501 | 2012-08-26 |
| 1609473768 | Carlos A Carrillo | Dentist | 1011 Medical Plaza Dr, Spring, TX 77380-3249 | 2020-10-01 |
| 1144847146 | Carlos W Carrillo | Health Educator | 25722 Kingsland Blvd Ste 205, Katy, TX 77494-2643 | 2020-06-25 |
| 1225591662 | Carlos Alfonso Carrillo | Nurse Practitioner | 1700 Murchison Dr, El Paso, TX 79902-2931 | 2019-04-11 |
| Street Address |
701 W COCOA BEACH CSWY |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654729 | Mary Weaver | Nurse Practitioner | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2005-07-28 |
| 1821633603 | Jessica Chapon | Registered Nurse | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2019-11-15 |
| 1942844725 | Allison Leslie Westcott | Nurse Practitioner | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2019-11-04 |
| 1871055350 | Malia Flores | Hospitalist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2019-04-03 |
| 1760909527 | Carlos David Walker | Pharmacist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2017-08-23 |
| 1558773952 | Lillian Gonzales Sepulveda | Hospitalist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2014-05-20 |
| 1336550284 | Craig Micheal Candle | Hospitalist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2014-05-14 |
| 1699042465 | Rosanna Sanchez | Pharmacist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2011-11-22 |
| 1124311964 | Brevard Pathology Pa | Pathology | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2011-05-26 |
| 1457687352 | Pramesh Patel | Hospitalist | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2009-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459883 | Elliot Harold Kornberg | Surgery | 1980 N Atlantic Ave, Suite 416, Cocoa Beach, FL 32931-5213 | 2005-06-30 |
| 1639320880 | Joseph John Bedway Jr. | Surgery | 699 W Cocoa Beach Cswy, Suite 505, Cocoa Beach, FL 32931-3577 | 2008-10-07 |
| 1316147606 | Surgical Specialists of Central Brevard Pa | Surgery | 1980 N Atlantic Ave, Suite 602, Cocoa Beach, FL 32931-5213 | 2007-07-24 |
| 1821208778 | Jessica Elizabeth Tunis | Surgery | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-5595 | 2007-05-22 |
| 1558304865 | Tim David Robarts | Surgery | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2006-06-14 |
| 1639179427 | Michael J Mclaughlin | Surgery | 1980 N Atlantic Ave, Suite 602, Cocoa Beach, FL 32931 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
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| City | COCOA BEACH |
| Zip Code | 32931 |
Please comment or provide details below to improve the information on DR. CARLOS A. CARRILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.