Luis E Carrillo MD

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

ME16832 Issued in FL

Legal business name

LUIS E CARRILLO MD

Practice address

2200 Osprey Blvd
Suite 103
Bartow, FL 33830-3308

Phone

(863) 534-8436

Fax

(863) 534-8005

NPI assigned

Feb 25, 2015

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Enrique Carrillo, M.D.

Title

Owner

Phone

(863) 534-8436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1891187027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7097",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338077097",
            "telephone_number": "863-534-8436",
            "fax_number": "863-534-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "address_2": "SUITE 103",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-534-8436",
            "fax_number": "863-534-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E CARRILLO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-534-8436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME16832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotus Medical Transport, LLC
• Judy Loud, RMHCI
• Lovable & Comfort Care LLC
• Love and Compassionate Hands LLC
• Susana Loza, RN
• Dominick Luna, RDN, LDN
• Luv N Care Support Services Inc
• Radhabai Madasu, RN
• Marcus Manderino, RN
• Kimberly Mangus

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Bartow, FL
• Providers in Bartow, FL by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.