MEDICARE: RAMON CARRILLO MD PA

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
1	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1679505135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMON CARRILLO MD PA

Provider Business Mailing Address
First Line	:	3181 CORAL WAY
Second Line	:	4TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-445-7200
Fax Number	:	305-445-7999

Provider Business Practice Location Address
First Line	:	3181 CORAL WAY
Second Line	:	4TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-445-7200
Fax Number	:	305-445-7999

Authorized Official
Title or Position	:	OWNER
Name	:	RAMON CARRILLO
Credential	:	MD
Telephone Number	:	305-445-7200

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	09/11/2025

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