Provider Demographics
NPI:1386609154
Name:ZORRILLA, CARLOS D (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:D
Last Name:ZORRILLA
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 1:2100 REGIONAL MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-9719
Mailing Address - Country:US
Mailing Address - Phone:979-532-1700
Mailing Address - Fax:979-532-6726
Practice Address - Street 1:2100 REGIONAL MEDICAL DR
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-9719
Practice Address - Country:US
Practice Address - Phone:979-532-1700
Practice Address - Fax:979-532-6726
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6183207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO1090565OtherRAILROAD MEDICARE
TX123534307Medicaid
TX8DE553OtherBC/BS #
TX123534304Medicaid
TX060018788OtherRAILROAD GBA - RAILROAD MEDICARE
TX820624OtherBC/BS TX#
TX123534304Medicaid
TX820624OtherBC/BS TX#
TXTXB150811Medicare PIN