JORGE J CARRILLO (NPI# 1740258359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740258359 |
| Entity Type | Individual |
| Full Name | JORGE J CARRILLO |
| Credential | MD |
| Practice Address |
11211 Prosperity Farms Rd D127 Palm Beach Gardens FL 33410-3446 |
| Mailing Address |
Po Box 310754 Dept 4101 Boca Raton FL 33431-0754 |
| Practice Telephone | 5616226111 |
| Practice Fax Number | 5617687999 |
| Mailing Telephone | 5616226111 |
| Mailing Fax Number | 5612442591 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME37325 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID | 61100X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356428130 | Jorge D Carrillo | Pharmacist | 1 Renaissance Blvd, Oakbrook Terrace, IL 60181-4294 | 2006-11-01 |
| 1174627186 | Jorge Carrillo | Psychologist | 5246 Dow Rd, Houston, TX 77040-6202 | 2006-09-11 |
| 1255592945 | Jorge F Carrillo | Obstetrics & Gynecology | 500 Red Creek Dr, Ste 110, Rochester, NY 14623 | 2008-06-24 |
| Street Address |
11211 PROSPERITY FARMS RD D127 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489090 | Reliable Diabetic Supply Inc | Durable Medical Equipment & Medical Supplies | 11211 Prosperity Farms Rd, Ste C-210, Palm Beach Gardens, FL 33410-3446 | 2005-07-01 |
| 1043738735 | Kirsten Zerfoss | Physician Assistant | 11211 Prosperity Farms Rd, Suite C-211, Palm Beach Gardens, FL 33410 | 2017-09-02 |
| 1477918969 | Michelle Carrillo-massa, M.d., P.a. | Clinic/Center | 11211 Prosperity Farms Rd, Suite D127, Palm Beach Gardens, FL 33410-3446 | 2015-12-28 |
| 1134592579 | Advance Healing & Wellness Center | Chiropractor | 11211 Prosperity Farms Rd, Suite C208, Palm Beach Gardens, FL 33410-3446 | 2015-11-06 |
| 1376921932 | Upledger Institute Clinic | Acupuncturist | 11211 Prosperity Farms Rd, Suite D223, Palm Beach Gardens, FL 33410-3487 | 2015-05-14 |
| 1326425653 | Justin Roberts | Massage Therapist | 11211 Prosperity Farms Rd, Suite D223, Palm Beach Gardens, FL 33410-3487 | 2015-05-06 |
| 1881092302 | Jorge J Carrillo LLC | Internal Medicine | 11211 Prosperity Farms Rd, Suite D127, Palm Beach Gardens, FL 33410-3446 | 2014-12-16 |
| 1134527765 | Rebecca S. Flowers, Pa | Clinic/Center | 11211 Prosperity Farms Rd, Suite D223, Palm Beach Gardens, FL 33410-3446 | 2014-12-13 |
| 1225449242 | Morgan K Panora | Clinical Neuropsychologist | 11211 Prosperity Farms Rd, Suite C303, Palm Beach Gardens, FL 33410-3446 | 2014-05-13 |
| 1497170666 | Alessandra Colon | Chiropractor | 11211 Prosperity Farms Rd, Ste C208, Palm Beach Gardens, FL 33410-3446 | 2014-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917277 | Rui Paulo Cerejo | Internal Medicine | 7108 Fairway Dr Ste 300, Palm Beach Gardens, FL 33418-3799 | 2005-07-28 |
| 1881092302 | Jorge J Carrillo LLC | Internal Medicine | 11211 Prosperity Farms Rd, Suite D127, Palm Beach Gardens, FL 33410-3446 | 2014-12-16 |
| 1649518317 | Andrew Vasconcellos | Internal Medicine | 7108 Fairway Dr Ste 300, Palm Beach Gardens, FL 33418-3799 | 2013-01-30 |
| 1548459423 | Jorge J Carrillo Md Pa | Internal Medicine | 11211 Prosperity Farms Rd, D127, Palm Beach Gardens, FL 33410-3446 | 2007-10-17 |
| 1659577831 | Paul D. Mendoza | Internal Medicine | 7108 Fairway Dr Ste 300, Palm Beach Gardens, FL 33418 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588654 | Wellness Institute of Miami Inc | Internal Medicine | 14114 Sw 42nd Ter, Miami, FL 33175-3644 | 2020-08-13 |
| 1003465253 | Mpp Infusion Center of Doctor Phillips, LLC | Internal Medicine | 6068 S Apopka Vineland Rd Ste 4, Orlando, FL 32819-4449 | 2019-09-10 |
| 1407408883 | Mpp Infusion Center of Kissimmee, LLC | Internal Medicine | 607 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2019-07-15 |
| 1811559487 | Mpp Infusion Center of Port St Lucie LLC | Internal Medicine | 525 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1605 | 2019-07-03 |
| 1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
| 1972069946 | Mid-florida Rheumatology LLC | Internal Medicine | 1743 Park Center Dr Ste 400, Orlando, FL 32835-7621 | 2019-02-14 |
| 1992269468 | Rheumatology Center of Palm Beach Pllc | Internal Medicine | 3918 Via Poinciana Ste 2, Lake Worth, FL 33467-2991 | 2019-01-29 |
| 1598205072 | American Arthritis & Rheumatology Associates LLC | Internal Medicine | 2255 Glades Rd Ste 228w, Boca Raton, FL 33431-7391 | 2017-03-02 |
| 1275904575 | Florida Rheumatology Associates Inc | Internal Medicine | 6801 Us Highway 27 N Ste A2, Sebring, FL 33870-1000 | 2015-10-13 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.