Ramon E Carrillo Torres, MD

Individual provider Active NPI General Practice Physician · Hatillo, PR

NPI 1720057896 · NPPES record last updated Mar 12, 2013

Key facts

NPI
1720057896
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
14332 (PR)
Practice address
116 Ave Dr Susoni
Hatillo, PR 00659-1847
Phone
(787) 898-4190
Fax
(787) 262-3984
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14332PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo General Practice Past
since Apr 9, 2011
Accepting new patients
Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14332 PR Yes

Addresses

Primary practice location

116 Ave Dr Susoni
Hatillo, PR 00659-1847

Mailing address

PO Box 907
Hatillo, PR 00659-0907
Phone (787) 898-4190

Other providers in Hatillo, PR

All providers in Hatillo, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.