MS. KANDY CARRILLO PA
NPI 1396060034
Physician Assistant in Miami Gardens, FL

Active since April 06, 2010
21301 NW 2ND AVE, MIAMI GARDENS, FL 33169(305) 947-4499(786) 657-2623 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kandy Carrillo Pa NPPES

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

MS. KANDY CARRILLO PA (NPI 1396060034) is an individual physician assistant in Miami Gardens, Florida, licensed in Florida (PA9105235) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1396060034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KANDY CARRILLOCredential: PA
Location Address21301 NW 2ND AVEMiami Gardens, FL 33169-2112
Mailing Address1145 Ne 133rd StNorth Miami, FL 33161-4250 · (305) 525-0648
Fax(786) 657-2623
Sole ProprietorNo
Enumeration DateApril 6, 2010
Last NPPES UpdateJuly 15, 2016
NPI 1396060034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9105235
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

21301 NW 2ND AVE, Miami Gardens, FL 33169

Other Providers at the Same Location NPPES

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

Optometrist
21301 NW 2ND AVE
MIAMI, FL 33169

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 Kandy Carrillo's NPI number?

The NPI number for Kandy Carrillo is 1396060034. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Kandy Carrillo located?

Kandy Carrillo practices at 21301 NW 2nd Ave, Miami Gardens, FL 33169. The listed phone number is (305) 947-4499.

What is Kandy Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kandy Carrillo was last updated on July 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.