Carrere Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME85054 Issued in FL

Legal business name

CARRERE GASTROENTEROLOGY LLC

Practice address

16848 Fox Den
Fort Myers, FL 33908-4322

Phone

(239) 278-1155

Fax

(239) 278-1159

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Juan Carrere, MD

Title

Owner

Phone

(239) 278-1155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1134590144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16848 FOX DEN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084322",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16848 FOX DEN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084322",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRERE GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CARRERE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-278-1155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME85054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME85054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Carr, APRN
• William J Carracino, M.D.
• Alejandro Carrazana
• Lurie Carrera Otero
• Yanet Carreras Mandado
• Lourdes Carrero-Ruiz, M.D.
• Sarah Neli Carrillo
• Francis Carro Cruz
• Angela Carroll, P.T.A.
• Barbara J Carroll, CNM

• Gastroenterology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.