Active NPI
Pedro Lucio Carrillo Jr., M.D.
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1396731303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52900
- Practice address
- 7100 W 20TH Ave Ste 512
Hialeah, FL 33016-1824 - Phone
- (305) 824-1117
- Fax
- (305) 824-1187
- NPI assigned
- Sep 26, 2005
- Last updated
- Mar 25, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52900 | FL | Primary |
Addresses
Primary practice location
7100 W 20TH Ave Ste 512
Hialeah, FL 33016-1824
Mailing address
7100 W 20TH Ave Ste 512
Hialeah, FL 33016-1824
Phone (305) 824-1117
Other practice location 1
221 SW 42nd Ave Fl 2
Coral Gables, FL 33134-1751
Phone (305) 541-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52900 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Medical Center, Inc, | Past | Accepting new patients | |
| First United Medical Center Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- pedrolucio.carrillo@univ.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1093013799
-
- Specialist
- Miami Lakes, FL
- NPI 1043240260
-
- General Practice Physician
- Miami, FL
- NPI 1528045036
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1396731303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE STE 512",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161824",
"telephone_number": "305-824-1117",
"fax_number": "305-824-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE STE 512",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161824",
"telephone_number": "305-824-1117",
"fax_number": "305-824-1187"
}
],
"practiceLocations": [
{
"address_1": "221 SW 42nd Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331341751",
"country_code": "US",
"telephone_number": "305-541-1606",
"fax_number": "305-649-1129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRILLO",
"first_name": "PEDRO",
"middle_name": "LUCIO",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "52900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.