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CARLOS CARRILLO
NPI 1043568017
Case Manager/Care Coordinator in Tampa, FL

Active since August 26, 2012
4202 W IDELL ST, TAMPA, FL 33614(813) 410-2769(813) 490-5495 Get Directions Write a Review

NPPES record last updated: August 26, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Carlos Carrillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS CARRILLO (NPI 1043568017) is an individual case manager/care coordinator provider in Tampa, Florida and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1043568017
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameCARLOS CARRILLO
Location Address4202 W IDELL STTampa, FL 33614-2501
Mailing Address4202 W Idell StTampa, FL 33614-2501 · (813) 410-2769 · Fax (813) 490-5495
Phone(813) 410-2769
Fax(813) 490-5495
Sole ProprietorYes
Enumeration DateAugust 26, 2012
✔ NPI 1043568017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4202 W IDELL ST, Tampa, FL 33614
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Carrillo's NPI number?

The NPI number for Carlos Carrillo is 1043568017. It was assigned to this individual provider in the NPPES registry on August 26, 2012.

Where is Carlos Carrillo located?

Carlos Carrillo practices at 4202 W Idell St, Tampa, FL 33614. The listed phone number is (813) 410-2769.

What is Carlos Carrillo's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Carlos Carrillo was last updated on August 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.