Carrillo, Jorge J

Carrillo, Jorge J is an individual health care provider with primary practice located at 11211 Prosperity Farms Rd D127, Palm Beach Gardens FL 33410-3446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Carrillo, Jorge J can be contacted via phone (561) 622-6111.

Contact Information

Primary practice address
11211 Prosperity Farms Rd D127 Palm Beach Gardens FL 33410-3446
Fax: (561) 768-7999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME37325 Florida

Profile Details

NPI number 1740258359
LBN Legal business name Carrillo, Jorge J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 14th, 2015 - about 10 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 1740258359 NPPES
Florida Other 61100X MEDICARE ID

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