Rafael J Carrillo-Carambot, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

8734 Issued in PR

Practice address

10 Calle Un E
Fajardo Medical Plaza Suite 204
Fajardo, PR 00738-4817

Phone

(787) 863-3450

Fax

(787) 860-5203

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recinto de Ciencias Medicas

  • Surgery Physician
  • Carolina, PR
  • NPI 1952480956
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Servicios Medicos Universitarios Inc

  • General Acute Care Hospital
  • Carolina, PR
  • NPI 1023107182
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1700868031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE UNION W",
            "address_2": "FAJARDO MEDICAL PLAZA SUITE 204",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384706",
            "telephone_number": "787-863-3450",
            "fax_number": "787-860-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE UN E",
            "address_2": "FAJARDO MEDICAL PLAZA SUITE 204",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384817",
            "telephone_number": "787-863-3450",
            "fax_number": "787-860-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO-CARAMBOT",
        "first_name": "RAFAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caribe Physicians Plaza Corporation
• Caribe Physicians Plaza Corporation
• Carlos E Marin Cortes MD LLC
• Anabel Carrasquillo Castro, PSY.D
• Maria I Carrera Baquero, MD
• Elizabeth Carrillo
• Casa de Salud del Este Inc.
• Castro Gastroenterology Medical Services, LLC
• Eric Manuel Castrodad Santini, DC
• Carmen E Ceballos Bonano, RN

• Urology Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.