Individual provider Active NPI

Paola Cristina Campillo

  • Internal Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1659070704
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TRN40909 Issued in FL
Practice address
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone
(787) 567-3314
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN40909 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607

Mailing address

596 Calle Cesar Gonzalez Apt 1524
San Juan, PR 00918-4340
Phone (787) 567-3314

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
I20251007000881 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4385141464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TRN40909FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1659070704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 CALLE CESAR GONZALEZ APT 1524",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184340",
            "telephone_number": "787-567-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MCMULLEN BOOTH RD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956607",
            "telephone_number": "787-567-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPILLO",
        "first_name": "PAOLA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN40909",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.