Thomas Carrasquillo, M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME36576 Issued in FL

Legal business name

THOMAS CARRASQUILLO, M.D., P.A.

Practice address

1435 SE 8TH Ter
Suite B
Cape Coral, FL 33990-3289

Phone

(239) 458-8222

Fax

(239) 458-8220

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Carrasquillo, M.D.

Title

President

Phone

(239) 458-8222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285717983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 SE 8TH TER",
            "address_2": "SUITE B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903289",
            "telephone_number": "239-458-8222",
            "fax_number": "239-458-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 SE 8TH TER",
            "address_2": "SUITE B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903289",
            "telephone_number": "239-458-8222",
            "fax_number": "239-458-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS CARRASQUILLO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-458-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME36576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Cape Coral, FL
• Providers in Cape Coral, 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 22, 2020; 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.