Healthcare Provider Details

I. General information

NPI: 1679505135
Provider Name (Legal Business Name): RAMON CARRILLO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 CORAL WAY 4TH FLOOR
CORAL GABLES FL
33145-3216
US

IV. Provider business mailing address

3181 CORAL WAY 4TH FLOOR
CORAL GABLES FL
33145-3216
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-7200
  • Fax: 305-445-7999
Mailing address:
  • Phone: 305-445-7200
  • Fax: 305-445-7999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMON CARRILLO
Title or Position: OWNER
Credential: MD
Phone: 305-445-7200