# PARRILLA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457864753
- **Authorized official:** EDWIN JL PARRILLA MD (PHYSICIAN)
- **Authorized official phone:** (305) 696-0842

## Contact information

- **Practice address:** 1025 E 25TH ST, HIALEAH, FL 33013-3703
- **Practice address phone:** (305) 696-0842
- **Practice address fax:** (305) 696-2150
- **Mailing address:** 1025 E 25TH ST, HIALEAH, FL 33013-3703
- **Mailing address phone:** (305) 696-0842
- **Mailing address fax:** (305) 696-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME130156 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 11/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 136147669 | DRIVERS LICENSE | NY |