Carrasco Pain Institute, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H4217 Issued in TX

Legal business name

CARRASCO PAIN INSTITUTE, PA

Practice address

4763 Hamilton Wolfe Rd
Suite 200
San Antonio, TX 78229-3329

Phone

(210) 614-4825

Fax

(210) 614-4525

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Arnulfo Tarin Carrasco, M.D.NPI 1598878225

Title

M.D./Medical Director

Phone

(210) 614-4825

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Arnulfo Tarin Carrasco, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1598878225
  Medicare reassignment Authorized official
• Alex De Jesus, MD

  • Rheumatology Physician
  • San Antonio, TX
  • NPI 1013986629
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1700054558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 HAMILTON WOLFE RD # 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293329",
            "telephone_number": "210-614-4825",
            "fax_number": "210-614-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 HAMILTON WOLFE RD",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293329",
            "telephone_number": "210-614-4825",
            "fax_number": "210-614-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRASCO PAIN INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ARNULFO",
        "authorized_official_middle_name": "TARIN",
        "authorized_official_title_or_position": "M.D./MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-614-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598878225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089895902",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@carrascopaininstitute.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4763 Hamilton Wolfe Rd",
            "address_2": "Suite 200",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberlee G Carranza
• Luis Carranza, MD
• Michelle Elaine Carranza, RN
• Rosa I Carranza, NNP
• Vianney Elizabeth Carranza
• Arnulfo Tarin Carrasco, MD
• Cassandra Renee Carrasco
• Emilio Carrasco III, CRT
• Gianna Carrasco
• Lissette Carrasco

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.