Jairo M Amarillo, PA-S
Surgery, Surgical Oncology in Watertown, Massachusetts
1871113605- Practice location
- 203 Sycamore St Unit 2, Watertown, MA 02472-1058
- Phone
- 908-642-0176
- Fax
- —
- Last updated
- June 11, 2024
Jairo Matthew Amarillo is a Surgery, Surgical Oncology based in Watertown, MA. Jairo Matthew Amarillo practices in Watertown, MA and has the professional credentials of PA-S. The NPI Number for Jairo Matthew Amarillo is 1871113605 and holds a License No. 2811 (NH). The current practice location address for Jairo Matthew Amarillo is 203 Sycamore St Unit 2, Watertown, MA 02472-1058 and can be reached out via phone at 908-642-0176.
Provider Profile Details
- NPI Number
- 1871113605
- Provider Name
- Jairo Matthew Amarillo
- Credential
- PA-S
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 203 Sycamore St Unit 2, Watertown, MA 02472-1058
- Phone Number
- 908-642-0176
- Primary Taxonomy
- Surgery, Surgical Oncology · 2086X0206X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2020
- Last Update Date
- June 11, 2024
- Certification Date
- May 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 203 Sycamore St Unit 2
Watertown, MA 02472-1058 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-1058
- Phone Number
- 908-642-0176
Provider Business Mailing Address Details
- Address
- 203 Sycamore St Unit 2
Watertown, MA 02472-1058 - City
- Watertown
- State
- MA
- Zip
- 02472-1058
- Phone Number
- 908-642-0176
License Information
- License Number (1)
- 2811
- License State (1)
- NH
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA7925
- License State (2)
- MA
- Taxonomy (2)
- Surgery, Surgical Oncology · 2086X0206X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Surgical Oncology providers near Watertown, MA
View all Surgery, Surgical Oncology providers in Watertown →Frequently Asked Questions
What is the NPI number of Jairo M Amarillo, PA-S?
The NPI number of Jairo M Amarillo, PA-S is 1871113605. It was assigned on April 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Jairo M Amarillo, PA-S?
Jairo M Amarillo, PA-S is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in NH under license number 2811.
Where does Jairo M Amarillo, PA-S practice?
The practice location is 203 Sycamore St Unit 2, Watertown, MA 02472-1058. The office can be reached at 908-642-0176 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871113605 directly on the NPPES registry website.