Carlos A Carrillo (NPI# 1104853951, PAC ID# 1557447448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1104853951 |
| PAC ID by PECOS | 1557447448 |
| Professional Enrollment ID | I20080318000287 |
| Full Name | Carlos A Carrillo |
| Address |
119 S Park Ave Titusville FL 32796-3377 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| 100315 | VIERA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 S Park Ave, Titusville, FL 32796-3377 |
| Street Address |
119 S PARK AVE |
| City | TITUSVILLE |
| State | FL |
| Zip | 32796-3377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Slone | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Eric A Moore | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Mayra A Abelleira Martinez | Psychiatry | 2355 Truman Scarborough Way, Attn Cfo, Titusville, FL 32796-1310 | |
| Ismael A Beloso | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Charles Ikegwuonu | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Laura Kn Powell | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Debra Kay Allen | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Aluino L Ochoa | Internal Medicine | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Cheryl M Gardner | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Kimberly E Lundquist | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Find all physicians in zip 32796 | |||
| City | TITUSVILLE |
| Zip Code | 32796 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TITUSVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Carlos A Carrillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.