CARLOS CARRILLO NPI 1528449139

NPI Information

NPI: 1528449139
Provider Name: CARLOS CARRILLO
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
111 CORTE MESA AVE
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 879-2525
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Carlos Carrillo is a durable medical equipment medical supplies in San Rafael, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Carlos Carrillo NPI is 1528449139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 CORTE MESA AVE
SAN RAFAEL, CA
ZIP 94901-303
Phone: (415) 879-2525

The enumeration date for this NPI number is 6/10/2015 and was last updated on 6/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		SRJH102516761	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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