DR. ROGER G. CARRILLO (NPI# 1285621243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285621243 |
| Entity Type | Individual |
| Full Name | DR. ROGER G. CARRILLO |
| Credential | M.D. |
| Practice Address |
1295 Nw 14th St Suite H Miami FL 33125-1610 |
| Practice Telephone | 3056892784 |
| Practice Fax Number | 3056892865 |
| Mailing Telephone | 3056892784 |
| Mailing Fax Number | 3056892865 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME45629 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1295 NW 14TH ST SUITE H |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841850 | Olivera Stojadinovic | Dermatology | 1295 Nw 14th St, Miami, FL 33125-1610 | 2016-06-09 |
| 1871955047 | Dr Jane Asprinio O'brien Pa | Audiologist-Hearing Aid Fitter | 1295 Nw 14th St, Miami, FL 33125-1610 | 2016-03-25 |
| 1639531825 | Fabrizio Galimberti | Dermatology | 1295 Nw 14th St, Miami, FL 33125-1610 | 2016-03-25 |
| 1871966580 | Eliana P Mendes | Internal Medicine | 1295 Nw 14th St, Miami, FL 33125-1610 | 2015-11-03 |
| 1376933309 | University of Miami | Internal Medicine | 1295 Nw 14th St, Suite A, Miami, FL 33125-1610 | 2015-01-29 |
| 1104232578 | University of Miami | Internal Medicine | 1295 Nw 14th St, Suite A, Miami, FL 33125-1610 | 2014-07-07 |
| 1134556400 | Fernanda Bellodi Schmidt | Dermatology | 1295 Nw 14th St, Miami, FL 33125-1610 | 2013-10-02 |
| 1699118000 | Carmen D Gonzalez | Nurse Practitioner | 1295 Nw 14th St, Miami, FL 33125-1610 | 2013-04-16 |
| 1134412083 | Brian William Morrison | Dermatology | 1295 Nw 14th St, University of Miami Hospital South Blg, Suites K-m, Miami, FL 33125-1610 | 2011-05-25 |
| 1174842462 | Hadar Avihai Lev-tov | Dermatology | 1295 Nw 14th St, Miami, FL 33125-1610 | 2010-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1629034251 | Beethoven Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3661 South Miami Avenue, Suite 402, Miami, FL 33145 | 2006-04-22 |
| 1396357893 | Joao Roberto Breda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1801 Nw 9th Ave Fl 5, Miami, FL 33136-1125 | 2020-08-18 |
| 1770080327 | Charleston Cardiac Surgery Ass | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3270 Nw 36th St, Miami, FL 33142-5036 | 2018-04-10 |
| 1588118426 | Pediatric Specialty Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Sw 62nd Ave, 2nd Floor-suite B- Department of Cardiovascular Surgery, Miami, FL 33155 | 2016-08-09 |
| 1821449034 | Naaman Abdullah Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4770 Biscayne Blvd, Suite 860, Miami, FL 33137-3202 | 2016-06-29 |
| 1790144368 | Naaman Abdullah Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4770 Biscayne Blvd, Suite 860, Miami, FL 33137-3202 | 2016-02-11 |
| 1902141245 | Vicente Orozco -sevilla | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1611 Nw 12 Avenue, Room 3072- Jackson Memorial - Holtz Center, Miami, FL 33125 | 2012-11-27 |
| 1386917292 | International Surgical and Medical Associates, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4770 Biscayne Blvd, Suite 880, Miami, FL 33137-3202 | 2012-02-23 |
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| 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.