Thomas (Tomas) Carrasquillo Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME36576 Issued in FL

Practice address

708 S. del Prado Blvd
Suite 1
Cape Coral, FL 33990-2676

Phone

(239) 574-7454

Fax

(239) 574-9439

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Island Coast Dermatology, PA

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1295886539
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1801899786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1449",
            "fax_number": "239-424-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S. DEL PRADO BLVD",
            "address_2": "SUITE 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902676",
            "telephone_number": "239-574-7454",
            "fax_number": "239-574-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "THOMAS (TOMAS)",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME36576",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME36576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020028881",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065027700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edisley Carral
• Ariadna Carralero
• Kety Carrandi Acosta
• Estefany Carrasco, FNP
• Yosmel O Carrasco
• Adianys Carrazana Ramirez
• Adrian Carrillo Garcia, RBT-23-300757
• Jaime Orlando Carrillo, MD
• Jennifer Alejandra Carrion, MD
• Maryann Carroll, SLP

• Surgery Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.