Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge Luis Carrillo Moya, HSE

Individual provider Dermatology Physician · NPI 1114601192

Jorge Luis Carrillo Moya, HSE is a Dermatology Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1321 NW 14th St Bldg SUITE505
Miami, FL 33125-1673
Phone: (305) 243-6704
Fax: (305) 243-6191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence HSE36492 (FL)

Record details

NPI number1114601192
Entity typeIndividual (Type 1)
GenderMale
Credentials HSE
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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