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

Mr. Fausto Roberto Carrasquillo, PA

Individual provider Physician Assistant · NPI 1063737856

Mr. Fausto Roberto Carrasquillo, PA is a Physician Assistant in The Villages, Florida. Qualified in 2009, 17 years ago. Practices with Premier Medical Associates of Florida Healthcare, PA, a 66-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone: (352) 259-2159
Fax: (352) 259-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9105255 (FL)

Record details

NPI number1063737856
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 5, 2010
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Premier Medical Associates Of Florida Healthcare, Pa — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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