Hector Lorenzo Carrillo Jr., OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115387 Issued in TX

Practice address

4601 Hondo Pass Dr Ste a
El Paso, TX 79904-1457

Phone

(915) 545-3422

NPI assigned

Nov 6, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477066066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 MESCAL LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128498",
            "telephone_number": "915-545-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HONDO PASS DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041457",
            "telephone_number": "915-545-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Mescal Ln",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799128498",
            "country_code": "US",
            "telephone_number": "915-545-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "HECTOR",
        "middle_name": "LORENZO",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carrillo, MD
• Diana Carrillo, CBCS
• Donna M. Michelle Carrillo
• Esteban Carrillo Jr., APRN, PMHNP-BC
• Gloria Carrillo, RPH
• Itzel Carrillo, OTR
• Juan Pablo Carrillo, OTR
• Karla Denise Carrillo, RN
• Lizet Carrillo, FNP-C
• Melissa Carrillo

• Occupational Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.