Carrasquillo, Hiram

Carrasquillo, Hiram is an individual health care provider with primary practice located at 1325 San Marco Blvd Ste 200 Credentialing Department, Jacksonville FL 32207-8566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Carrasquillo, Hiram can be contacted via phone (904) 346-3465.

Contact Information

Primary practice address
1325 San Marco Blvd Ste 200 Credentialing Department Jacksonville FL 32207-8566
Phone: (904) 346-3465
Fax: (904) 858-6475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME67033 Florida
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X ME67033 Florida

Profile Details

NPI number 1376547059
LBN Legal business name Carrasquillo, Hiram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376547059 NPPES
Florida MEDICAID 376097900

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