Active NPI
Arthur Carrizales, MD
- Family Medicine Physician
- Patrick AFB, FL
National Provider Identifier
1891785663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F3066
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F3066 | TX | MD | Family 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.