Individual provider · Type 1 NPI

Dominic Alberto Carrillo

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1033913876 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-1087

Call (336) 716-4551 Map

Fax (336) 716-9642

Mailing address

One Medical Center Blvd
Winston Salem, NC 27157

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033913876

Dominic Alberto Carrillo's National Provider Identifier is 1033913876, issued on Apr 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 2, 2025.