Gonzalo Carrasco-Avino, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

P86284 Issued in NY

Practice address

One Gustave L. Place, Mount Sinai School of Medicine
Box 1194 (Annemberg 15-32)
New York, NY 10029-6574

Phone

(347) 824-8241

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1023453594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L. PLACE, BOX 1194 (ANNEMBERG 15-32)",
            "address_2": "MOUNT SINAI SCHOOL OF MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "347-824-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L. PLACE, MOUNT SINAI SCHOOL OF MEDICINE",
            "address_2": "BOX 1194 (ANNEMBERG 15-32)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "347-824-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO-AVINO",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "P86284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "939503478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Carrandi, M.S., L.AC.
• Elizabeth Carrano
• Julia E Carranza, LCSW
• Marissa Dominique Carranza, MD
• Monica L Carras
• Anamaria Carrasco, DDS
• Cesar Carrasco, LCSW
• Eribert Amelia Carrasco, LPN
• Maiquel Carrasco, M.D.
• Pilar Carrasco

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.