Active NPI
Griselle E Carlo, MS, MT
- Other Specialist/Technologist
- Mayaguez, PR
National Provider Identifier
1245222942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 3755
- Practice address
- 24 Calle Dr Basora N
Mayaguez, PR 00680-4831 - Phone
- (787) 833-4065
- Fax
- (787) 805-6605
- NPI assigned
- Aug 18, 2005
- Reactivated
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 3755 | PR | Primary |
Addresses
Primary practice location
24 Calle Dr Basora N
Mayaguez, PR 00680-4831
Mailing address
24 Calle Dr Basora N
Mayaguez, PR 00680-4831
Phone (787) 833-4065
Other names 1
- Mrs. Griselle E Carlo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3755 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1245222942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804831",
"telephone_number": "787-833-4065",
"fax_number": "787-805-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804831",
"telephone_number": "787-833-4065",
"fax_number": "787-805-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "GRISELLE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MS, MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2011-04-01",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "PR",
"license": "3755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRISELLE",
"last_name": "CARLO",
"middle_name": "E",
"prefix": "MRS.",
"credential": "MS, MT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mayaguez, PR
- Caribe Pharmacy Management LLC (Farmacia Caridad #19)
- Caribe Pharmacy Management LLC (Farmacia Caridad #18)
- Jorge Luis Carlo Font, M. D.
- Edgar Carlo Frontera, PHARMD
- Elizabeth Carlo Rivera, PHD IN CL PSYCH
- Rosa Esther Carlo
- Carmen Pino Lopez Castro (Prolab)
- Milagros Carmenatty
- Natalie Ann Caro de Leon
- Erik Javier Caro Velez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.