Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396060034 Individual Practitioner Female Practitioner

Kandy Carrillo , PA

Physician Assistant • Miami Gardens, FL

Professional Overview & Biography Verified Profile Summary

Kandy Carrillo, PA is a registered healthcare professional specializing in Physician Assistant in Miami Gardens, FL. Practice services are available at 21301 NW 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21301 Nw 2nd Ave

Miami Gardens, FL 331692112

Telephone 3059474499
Fax 7866572623
Associated Practice Facility / Clinic
🏢 Latino Medical Center Inc Facility NPI 1467899872

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miami Gardens, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Miami Gardens, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105235

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 21301 NW 2ND AVE, MIAMI GARDENS, FL 331692112 (Tel: 3059474499)

📍
Updated Business Mailing Address July 15, 2016

Registered at 1145 NE 133RD ST, NORTH MIAMI, FL 331614250 (Tel: 3055250648)

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as KANDY CARRILLO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Physician Assistant (License #PA9105235 in FL)

🟢
Initial NPI Registration & Enumeration April 06, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396060034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2010
Last Update: July 15, 2016
Sole Proprietor: No

Mailing Address

1145 Ne 133rd St

North Miami, FL 331614250

Phone: 3055250648

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.