Provider Demographics
NPI:1437977980
Name:CARRILLO BARO, ELMER WILFREDO (MD)
Entity type:Individual
Prefix:
First Name:ELMER
Middle Name:WILFREDO
Last Name:CARRILLO BARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE CEIBA 24
Mailing Address - Street 2:APTO B5
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4249
Mailing Address - Country:US
Mailing Address - Phone:713-240-2668
Mailing Address - Fax:
Practice Address - Street 1:PR-2KM 173
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program