| Pedro L Carrillo Md Pa | |
|
2140 W 68th St 308 Hialeah FL 33016-1815 | |
| (305) 824-1117 | |
| (305) 824-1187 |
| Full Name | Pedro L Carrillo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2140 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Pedro Lucio Carrillo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3058241117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro L Carrillo Md Pa 2140 W 68th St 308 Hialeah FL 33016-1815 Ph: (305) 824-1117 | Pedro L Carrillo Md Pa 2140 W 68th St 308 Hialeah FL 33016-1815 Ph: (305) 824-1117 |
| NPI Number | 1093013799 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Medicare PECOS PAC ID | 5294905626 |
|---|---|
| Medicare Enrollment ID | O20110823000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093013799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52900 (Florida) | Primary |
| Provider Name | Pedro L Carrillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396731303 PECOS PAC ID: 3274593611 Enrollment ID: I20041012000218 |
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