Provider Demographics
NPI:1184818304
Name:CARRILLO MORALES, SOL MELISA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SOL
Middle Name:MELISA
Last Name:CARRILLO MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOL MELISA
Other - Middle Name:
Other - Last Name:CARRILLO MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 30836
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929
Mailing Address - Country:US
Mailing Address - Phone:787-754-0101
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HOSPITAL RAMON RUIZ ARNAU, AVE. LAUREL 100
Practice Address - Street 2:URB. SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26965 R207R00000X
PR18265207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine