Provider Demographics
NPI:1003254186
Name:BRAVO CARRILLO, CLAUDIO ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:ANDRES
Last Name:BRAVO CARRILLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:535 MISSION BAY BLVD S
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2156
Mailing Address - Country:US
Mailing Address - Phone:415-353-2873
Mailing Address - Fax:415-353-2528
Practice Address - Street 1:11970 N CENTRAL EXPY STE 340
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3787
Practice Address - Country:US
Practice Address - Phone:972-940-9520
Practice Address - Fax:972-940-9535
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2025-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXU6120207RA0001X, 207RC0000X
WAMD61040173207RC0000X
CAC200774207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease