Michelle Carrillo-Massa, M.D., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME115891 Issued in FL

Legal business name

MICHELLE CARRILLO-MASSA, M.D., P.A.

Practice address

11211 Prosperity Farms Rd
Suite D127
Palm Beach Gardens, FL 33410-3446

Phone

(561) 627-0990

Fax

(561) 625-0248

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Carrillo-Massa, M.D.

Title

Owner/Medical Doctor

Phone

(561) 385-7591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce R Dooley, M.D.

  • Homeopath
  • Ft. Lauderdale, FL
  • NPI 1174747737
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1477918969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 DAKOTA DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588407",
            "telephone_number": "561-385-7591",
            "fax_number": "561-625-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE D127",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-627-0990",
            "fax_number": "561-625-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE CARRILLO-MASSA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "CARRILLO-MASSA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "561-385-7591",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME115891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Patten MD PA
• Maria-a S Michaux, RD, LDN
• Frantzie Michel, ARNP
• Michele L Wilson
• Elizabeth W Michelena, LCSW, CAP
• Mark Michels, MD
• Microsurgical Solutions, LLC
• Harry C Midgley, MD
• Midtown Imaging LLC
• Margaret Sidney Mifsud

• Primary Care Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.