Individual provider Active NPI

Arthur Carrizales, MD

  • Family Medicine Physician
  • Patrick AFB, FL
National Provider Identifier
1891785663
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3066 Issued in TX
Practice address
1381 South Patrick Drive
Patrick Health Care Clinic
Patrick AFB, FL 32925
Phone
(210) 916-3000
Fax
(210) 295-4895
NPI assigned
Oct 24, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3066 TX Primary

Addresses

Primary practice location

1381 South Patrick Drive
Patrick Health Care Clinic
Patrick AFB, FL 32925

Mailing address

1381 South Patrick Drive
45TH Medical Group Patrick Health Care Clinic
Patrick Air Force Base, FL 32925
Phone (321) 495-7174

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F3066TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1891785663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 SOUTH PATRICK DRIVE",
            "address_2": "45TH MEDICAL GROUP PATRICK HEALTH CARE CLINIC",
            "city": "PATRICK AIR FORCE BASE",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "321-495-7174",
            "fax_number": "210-295-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 SOUTH PATRICK DRIVE",
            "address_2": "PATRICK HEALTH CARE CLINIC",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "210-916-3000",
            "fax_number": "210-295-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZALES",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patrick AFB, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.