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: July 19, 2026.

  • Individual
  • Male
  • Case Manager/Care Coordinator

About CARLOS CARRILLO

This page provides the complete NPI Profile along with additional information for Carlos Carrillo, a provider established in Tampa, Florida with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1043568017 assigned on August 2012. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1043568017 Verify this NPI
Provider Name
CARLOS CARRILLO
Gender
Male
Entity Type
Individual
Location Address
4202 W IDELL ST TAMPA, FL 33614
Location Phone
(813) 410-2769
Location Fax
(813) 490-5495
Mailing Address
4202 W IDELL ST TAMPA, FL 33614
Mailing Phone
(813) 410-2769
Mailing Fax
(813) 490-5495
Is Sole Proprietor?
Yes
Enumeration Date
08-26-2012
Last Update Date
08-26-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043568017, enumerated as an "individual" on August 26, 2012.

The provider is located at 4202 W IDELL ST TAMPA, FL 33614 and the phone number is (813) 410-2769.

Case Manager/Care Coordinator with taxonomy code 171M00000X.