MR. MATTHEW MANUEL CARRILLO OWNER
NPI 1356386288
Specialist - Prosthetics Case Management in Laurel, MS

Q: What is Matthew Carrillo's NPI number?

The NPI number for Matthew Carrillo is 1356386288. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Q: What is Matthew Carrillo's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Carrillo was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 17, 2006

434 S 13TH AVE, LAUREL, MS 39440(601) 649-0001(601) 649-0035 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Matthew Manuel Carrillo Owner NPPES

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

MR. MATTHEW MANUEL CARRILLO OWNER (NPI 1356386288) is an individual prosthetics case management provider in Laurel, Mississippi, licensed in Mississippi (07014/11.1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356386288

Entity TypeIndividualMale

Primary Taxonomy1744P3200X

Provider Legal NameMR. MATTHEW MANUEL CARRILLOCredential: OWNER

Location Address434 S 13TH AVELaurel, MS 39440-4345

Mailing AddressPo Box 6501Laurel, MS 39441-6501 · (601) 649-0001 · Fax (601) 649-0035

Phone(601) 649-0001

Fax(601) 649-0035

Sole ProprietorYes

Enumeration DateJune 17, 2006

Last NPPES UpdateNovember 7, 2007

✔ NPI 1356386288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in MS · 07014/11.1

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

434 S 13TH AVE, Laurel, MS 39440

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Other Identifiers 2

Medicaid01339261MS

Medicare NSC5276790001MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED ORTHOTICS & PROSTHETICS CLINIC

Durable Medical Equipment & Medical Supplies

434 S 13TH AVE
LAUREL, MS 39440

Jones County (601) 649-0001

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 Matthew Carrillo's NPI number?

The NPI number for Matthew Carrillo is 1356386288. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Matthew Carrillo located?

Matthew Carrillo practices at 434 S 13th Ave, Laurel, MS 39440. The listed phone number is (601) 649-0001.

What is Matthew Carrillo's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Matthew Carrillo was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.