Teofilo Aguilar Carrasco IV, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R64486 Issued in NM

Practice address

226 Carver Rd
Las Cruces, NM 88005-3544

Phone

(575) 527-9575

Fax

(575) 527-9746

NPI assigned

Dec 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1366863300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CARVER RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053544",
            "telephone_number": "575-527-9575",
            "fax_number": "575-527-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CARVER RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053544",
            "telephone_number": "575-527-9575",
            "fax_number": "575-527-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "TEOFILO",
        "middle_name": "AGUILAR",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R64486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Carrasco, LCSW
• Emilia Carrasco
• Irma Carrasco, OTR
• Rosina B Carrasco, LMSW
• Teofilo Carrasco, PTA
• Vanessa Monique Carrasco
• Ashley Carrejo
• Amanda Rae Carrell
• Emilio Joseph Carreon, CRNA
• Hope A Carreon, LMT

• School Registered Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.