Individual provider Active NPI

Pedro Lucio Carrillo Jr., M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1396731303
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52900 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000218 FL Practitioner - Internal Medicine 3274593611 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52900FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Medical Center, Inc, Past Accepting new patients
First United Medical Center Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.