GUSTAVO CARRILLO


Address: 1652 W 800 S, Salt Lake City, UT 84104-3112
Phone: 6026264835

GUSTAVO CARRILLO (NPI# 1114542255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114542255
Entity Type Individual
Full Name GUSTAVO CARRILLO
Practice Address 1652 W 800 S
Salt Lake City
UT 84104-3112
Practice Telephone 6026264835
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1652 W 800 S
City SALT LAKE CITY
State UT
Zip Code 84104-3112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144673013 Neighborhood House Clinic/Center 423 South 1100 West, Salt Lake City, UT 84104 2016-07-15
1790157261 Global Medical Therapeutics Inc Pharmacy 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 2015-10-23
1154561090 Stephen Kent Jones General Practice 174 West Parrish Lane, Centerville, UT 84104 2009-03-05
1013037704 Occuaptional Health Centers of The Southwest, P.a. Clinic/Center 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 2007-03-29
1639294721 Ihc Health Services Clinic/Center 855 W 1300 S, Salt Lake City, UT 84104 2007-03-20
1700957552 Neighborhood House Custodial Care Facility 423 So 1100 West, Salt Lake City, UT 84104 2006-11-13
1912014234 Over The Road Dental Dentist 1953 W. California Ave, Salt Lake City, UT 84104 2006-08-23
1962492504 Lifeskills Vocational Center Day Training, Developmentally Disabled Services 1656 W 1500 S, Salt Lake City, UT 84104 2005-10-25
1366439507 Kci Usa, Inc. Durable Medical Equipment & Medical Supplies 1765 S 900 W Ste 88, Salt Lake City, UT 84104 2005-10-03
1588813521 Concentra Health Services, Inc. Clinic/Center 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 2008-09-15
Find all providers in zip 84104

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982205829 Brittany Nicole Beverly Student in an Organized Health Care Education/Training Program 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 2020-11-06
1508484023 Courtney Hook Student in an Organized Health Care Education/Training Program 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 2020-07-10
1669090502 Kelly Maree Gutpell Student in an Organized Health Care Education/Training Program 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 2020-07-07
1134744014 Scarlet Reyes Student in an Organized Health Care Education/Training Program 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 2020-06-16
1215553151 Andrew Winn Bringhurst Student in an Organized Health Care Education/Training Program 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 2020-06-16
1134744287 Jillian G Barker Student in an Organized Health Care Education/Training Program 1345 S 400 E, Salt Lake City, UT 84115-1548 2020-06-15
1982229035 Cristhian V. Toruno Student in an Organized Health Care Education/Training Program 448 N 1100 W, Salt Lake City, UT 84116-2649 2020-06-15
1144845108 Huong T Pham Student in an Organized Health Care Education/Training Program 319 E Beldon Pl, Salt Lake City, UT 84111-3516 2020-06-15
1790300754 Krista Huffaker Student in an Organized Health Care Education/Training Program 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 2020-06-15
1740805860 Spencer Thompson Student in an Organized Health Care Education/Training Program 3801 S Viking Rd, Salt Lake City, UT 84109-3627 2020-06-15
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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