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NPI Code Detail

MEDICARE: CARRIERO FOOT AND ANKLE INC

MEDICARE: CARRIERO FOOT AND ANKLE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterE4509CA

General Provider Information

NPI Number : 1962891697
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARRIERO FOOT AND ANKLE INC
Provider Business Mailing Address
First Line : 1524 SHIELDS AVE
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-2910
Country : US
Telephone Number : 760-518-6184
Fax Number : 760-753-5351
Provider Business Practice Location Address
First Line : 310 SANTA FE DR STE 112
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-5123
Country : US
Telephone Number : 760-642-7009
Fax Number : 760-230-1453
Authorized Official
Title or Position : PODIATRIST
Name : KEENAN S CARRIEO
Credential : DPM
Telephone Number : 760-642-7009
Provider Enumeration Date : 01/19/2015
Last Update Date : 03/11/2025

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Directions to “CARRIERO FOOT AND ANKLE INC ” Practice Location

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