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NPI Verification

National Provider Identifier: 1649628587

Maritza Elide Carrillo, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

1906 BELLEVIEW AVE SE

ROANOKE, VA 240141838

Phone: 540-981-7000

NPI Enumeration Date

June 1, 2016

NPI Number

1649628587

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry