Osward Yadiel Carrasquillo Gonzalez, MD, MPH

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

19625 Issued in PR

Practice address

410 Market St Ste 400
Chapel Hill, NC 27516-4061

Phone

(984) 974-3839

Fax

(984) 974-3692

NPI assigned

Apr 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Ponce School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Skin Cancer Center, PAGroup PAC ID 0244573319, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ocarrasquillogonzalez726409@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wake Skin Cancer Center, PA

  • MOHS-Micrographic Surgery Physician
  • Wake Forest, NC
  • NPI 1497211189
  Medicare reassignment Care Compare group NPD
• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Dermatology

  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1336535855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7804",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267804",
            "telephone_number": "939-940-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3839",
            "fax_number": "984-974-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Calle Hija Del Caribe",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183204",
            "country_code": "US",
            "telephone_number": "787-772-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASQUILLO GONZALEZ",
        "first_name": "OSWARD",
        "middle_name": "YADIEL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ocarrasquillogonzalez726409@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "410 Market St Ste 400",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Sports Chiropractic, PLLC
• Carolyn O. Ballantine, MD. PLLC
• James Clinton Carpenter, PH.D.
• Julie Saleeby Carpenter, M.D.
• Cara Elizabeth Carr, MD
• Victoria Ashlie Carrice, LCMHC
• Erin Heather Carrier, LCSW LCAS-A
• Rachel Jean Carrier, OT
• Caroline Hill Carrillo, OTR/L
• Marykate Carrillo, MD

• Dermatology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.