Carrillo Cardiovascular Medicine LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARRILLO CARDIOVASCULAR MEDICINE LLC

Practice address

Ave Font Martello 856
Hospital Ryder Suite 105
Humacao, PR 00791

Phone

(787) 920-4090

Fax

(877) 736-2593

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan Ernesto Carrillo Navas, MDNPI 1780949230

Title

President

Phone

(787) 372-2044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Ernesto Carrillo Navas, M.D

  • Cardiovascular Disease Physician
  • Humacao, PR
  • NPI 1780949230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1326648379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. QUINTAS DE SAN LUIS",
            "address_2": "CALLE CAMPECHE A6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-372-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FONT MARTELLO 856",
            "address_2": "HOSPITAL RYDER SUITE 105",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-920-4090",
            "fax_number": "877-736-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLO CARDIOVASCULAR MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "CARRILLO NAVAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-372-2044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Enid Carradero, RPH
• Alexander Carrasquillo
• Gladysiris Carrasquillo, MT
• Juan Carrasquillo Sr.
• Yetsenia Carrasquillo
• Juan Ernesto Carrillo Navas, M.D
• Jorge C Carrillo
• Carlos Eugenio Carrion, M.D.
• Paola Casanova
• Victor Castillo, MD

• Cardiovascular Disease Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.