Wanda Violeta Carrion, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11415 Issued in PR

Practice address

64 Calle Santa Cruz
Galeria Medica Suite 208
Bayamon, PR 00961-7003

Phone

(787) 269-1022

Fax

(787) 269-1077

NPI assigned

Jan 31, 2006

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Practice Specialists

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1871790436
  NPD (past) Authorized official

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1710958343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "GALERIA MEDICA SUITE208",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617003",
            "telephone_number": "787-269-1022",
            "fax_number": "787-269-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "GALERIA MEDICA SUITE 208",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617003",
            "telephone_number": "787-269-1022",
            "fax_number": "787-269-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION",
        "first_name": "WANDA",
        "middle_name": "VIOLETA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11415",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciro Manases Carrillo Marcano
• Sol Melisa Carrillo Morales, MD
• Daniela Alexandra Carrillo
• Hipolito Carrillo, M.D.
• Ivis S. Carrion, PSY.D.
• Yolanda Carrion, MD
• Francisco E Carro Anzalota, MD
• Felipe Carro, DMD
• Carsomed PSC
• Miriam Cartagena, MSW

• Family Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.