Provider Demographics
NPI:1780949230
Name:CARRILLO NAVAS, JUAN ERNESTO (MD)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:ERNESTO
Last Name:CARRILLO NAVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URBANIZACION QUINTAS DE SAN LUIS SEGUNDA SECCION
Mailing Address - Street 2:CALLE CAMPECHE A6
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:336 AVE FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3229
Practice Address - Country:US
Practice Address - Phone:939-633-2111
Practice Address - Fax:939-303-3160
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18456207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease