Provider Demographics
NPI:1851379911
Name:DRIGGS, CARLOS FELIX (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:FELIX
Last Name:DRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1604
Mailing Address - Country:US
Mailing Address - Phone:718-828-6060
Mailing Address - Fax:718-792-1960
Practice Address - Street 1:1957 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1604
Practice Address - Country:US
Practice Address - Phone:718-828-6060
Practice Address - Fax:718-792-1960
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-08
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179708207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01408891Medicaid
NY55F53AC701Medicare PIN
NYE84057Medicare UPIN
NY01408891Medicaid
NYE84057Medicare UPIN