OrganizationActive
Luis M. Carrillo
NPI 1679008908 · Dentist · Tijuana
Provider details
- NPI number
- 1679008908
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Luis Carrillo, Dentist(619) 488-3200
- License
- 1787081 (ZZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
80% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Ave Mexico # 8236
Tijuana, 21000
Phone: (664) 685-4095
Fax: (966) 272-6924
Mailing address
4275 Executive Sq
La Jolla, CA 92037-9123
Other names (DBA / former)
- Doing business as
- Luis M. Carrillo DDS
Registry dates
- Enumerated
- 2017-04-24
- Last updated
- 2017-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.