Nicole Marie Carrillo, MD is a
Student In An Organized Health Care Education/training Program physician based in San Juan, Puerto Rico. Nicole Marie Carrillo is licensed to practice in * (Not Available) (license number ) and her current practice location is Po Box 365067, San Juan, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 765-2363.
NPI number for Nicole Marie Carrillo is 1548989841 and her current mailing address is 44 Calle Principe Alberto, Guaynabo, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548989841.
Physician's Profile
| Full Name | Nicole Marie Carrillo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Po Box 365067, San Juan, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548989841
- Provider Enumeration Date: 08/22/2022
- Last Update Date: 11/06/2024
Medical Identifiers
Medical identifiers for Nicole Marie Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548989841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 36948 (Puerto Rico) | 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. Nicole Marie 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 |
|---|
Nicole Marie Carrillo, MD
44 Calle Principe Alberto,
Guaynabo, PR 00969-5323
Ph: (787) 403-9635 | Nicole Marie Carrillo, MD
Po Box 365067,
San Juan, PR 00936-5067
Ph: (787) 765-2363 |
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