Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLOS CARRILLO
Active Sole ProprietorCARLOS CARRILLO is a Durable Medical Equipment & Medical Supplies healthcare provider located in SAN RAFAEL, California. NPI 1528449139 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1528449139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2015 (11.225533012074 yrs)
- Last Updated
- Jun 10, 2015
- License
-
SRJH102516761 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 CORTE MESA AVESAN RAFAEL, CA, 949011303Browse CA providers · Browse ZIP 94901
- Phone
- 4158792525
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.