Individual
JORGE J CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11211 PROSPERITY FARMS RD, D127, PALM BEACH GARDENS, FL 33410-3446
(561) 622-6111
(561) 768-7999
Mailing address
PO BOX 310754, DEPT 4101, BOCA RATON, FL 33431-0754
(561) 622-6111
(561) 244-2591
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME37325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61100X
MEDICARE ID
FL
Enumeration date
03/09/2006
Last updated
04/14/2015
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