Doctor Name: | JORGE F CARRILLO |
NPI Number: | 1255592945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 265682 |
Business Practice Address: | 500 Red Creek Dr Ste 110 Rochester, NY - 14623 |
Business Phone Number: | 5854873420 |
Business Fax Number: | 5853341264 |
Mailing Address: | 601 Elmwood Ave, Box 668 ROCHESTER |
State: | NY |
Postal Code: | 146420001 |
Phone Number: | 5852752691 |
Fax Number: | 5854248707 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 08/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 265682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |