Carrillo Surgical Associates LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CARRILLO SURGICAL ASSOCIATES LLC

Practice address

1311 Garden St
Titusville, FL 32796-3312

Phone

(321) 268-0720

Fax

(321) 383-7596

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Tina Carrillo

Title

R.N.

Phone

(321) 268-0720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Rene Carrillo, RN, RNFA, CNOR

  • Registered Nurse First Assistant
  • Titusville, FL
  • NPI 1114226362
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1104871102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963312",
            "telephone_number": "321-268-0720",
            "fax_number": "321-383-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963312",
            "telephone_number": "321-268-0720",
            "fax_number": "321-383-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLO SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "321-268-0720"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caremax Medical Centers of Central Florida, LLC
• Carmona Pathology Associates PA
• Pedro A Carmona, MD
• Felicia Carnahan
• Mary Elizabeth Carr-de Vries, IMH
• Christine Rene Carrillo, RN, RNFA, CNOR
• James Edward Carter
• Jan Cary
• Joseph R Casale, RPT
• Stephen Castle II, PTA

• Surgery Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.