RAUL CARRILLO MD PA (NPI# 1952556821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952556821 |
| Entity Type | Organization |
| Organization Name | RAUL CARRILLO MD PA |
| Practice Address |
929. N. Hwy 27/441 Suite 302 Lady Lake FL 32159 |
| Mailing Address |
929 N. Hwy 27/441 Suite 302 Lady Lake FL 32159-8999 |
| Practice Telephone | 3523911115 |
| Practice Fax Number | 3523915206 |
| Mailing Telephone | 3523911115 |
| Mailing Fax Number | 3523915206 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DR. RAUL CARRILLO (CEO) |
| Authorized Official Telephone | 3523911115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME87534 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267028300 | 05 |
| Street Address |
929. N. HWY 27/441 SUITE 302 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1366765695 | Magdy Falestiny LLC | Internal Medicine | 929 N Us Highway 441, Ste 503, Lady Lake, FL 32159-3001 | 2010-03-01 |
| 1942421581 | Magdy Nassif Falestiny | Internal Medicine | 920 Rolling Acres Rd, Suite#1, Lady Lake, FL 32159 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507431 | Tricounty Physicians, LLC | Internal Medicine | 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 | 2020-01-21 |
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
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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.