Look up the most recent NPI and PECOS records

Damien Carracedo

Internal Medicine

Allopathic & Osteopathic Physicians

777 Glades Rd # Bc71, Boca Raton, FL 33431-6424

PECOS Enrollment

Based on the most recent information from CMS, provider Damien Carracedo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619382090
Provider Type
Individual
Full Name
Carracedo, Damien
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/24/2014
Last Updated
6/25/2014

Contact Information

Practice Location

777 Glades Rd # Bc71, Boca Raton, FL 33431-6424

(561) 235-4978

Unlisted Fax

Mailing Location

777 Glades Rd # Bc71, Boca Raton, FL 33431-6424

(561) 235-4978

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License TRN20550 Florida

Damien Carracedo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mdmvilme

Agarwal, Gauri Gaonkar

Sule, Sachin

Conscious Wellness Md

Alvarez, Dayan

Espinosa, Cynthia

Lewis H. Semel Md Pa

Westbrook, Raymond R

Montalvan, Jorge I.

Conviva Medical Center Management Llc