Marcelo Trinidad Carrillo


Address: 437 S Yellowstone Dr, Suite 208, Madison, WI 53719-1061
Phone: 60827018001

Marcelo Trinidad Carrillo (NPI# 1205889151, PAC ID# 4587675863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1205889151
PAC ID by PECOS 4587675863
Professional Enrollment ID I20060530000047
Full Name Marcelo Trinidad Carrillo
Address 437 S Yellowstone Dr
Suite 208
Madison
WI 53719-1061
Phone Number 60827018001
Gender M
Graduation Year 1999
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
437 S Yellowstone Dr, Suite 208, Madison, WI 53719-1061 60827018001

Organization Information

Office Location

Street Address 437 S YELLOWSTONE DR
SUITE 208
City MADISON
State WI
Zip 53719-1061

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Competitor

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City MADISON
Zip Code 53719
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty MADISON + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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