# CAMPILLO MEDICAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CAMPILLO MEDICAL CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831627371
- **Authorized official:** ERIC CAMPILLO-JUIG APRN, LHHC (CLINICAL DIRECTOR)
- **Authorized official phone:** (305) 300-5551

## Contact information

- **Practice address:** 6583 SW 39TH TER, MIAMI, FL 33155-4821
- **Practice address phone:** (786) 615-3187
- **Practice address fax:** (786) 756-1010
- **Mailing address:** 6583 SW 39TH TER, MIAMI, FL 33155-4821
- **Mailing address phone:** (786) 615-3187
- **Mailing address fax:** (786) 756-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2017
- **Last updated:** 01/08/2021