Maricruz Pat Carrillo, is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Maricruz Pat Carrillo is licensed to practice in * (Not Available) (license number ) and her current practice location is
734 10th Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 239-4663.
NPI number for Maricruz Pat Carrillo is 1790289080 and her current mailing address is 734 10th Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790289080.
Healthcare Provider's Profile
| Full Name | Maricruz Pat Carrillo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 734 10th Ave, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790289080
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 05/17/2021
Medical Identifiers
Medical identifiers for Maricruz Pat Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790289080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maricruz Pat Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maricruz Pat Carrillo,
734 10th Ave,
San Diego, CA 92101-6502
Ph: () - | Maricruz Pat Carrillo,
734 10th Ave,
San Diego, CA 92101-6502
Ph: (619) 239-4663 |
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