Kaira Carrasquillo Carrasquillo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18272 Issued in PR

Practice address

Carretera 857 KM 9.2 Bo Carruzo
Carolina, PR 00729

Phone

(787) 231-1220

NPI assigned

Jul 27, 2010

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician H.M.O. Inc.

  • Intermediate Emergency Medical Technician
  • San Juan, PR
  • NPI 1730481649
  Medicare reassignment NPD
• Premium Health Group Clinic

  • Health Service Clinic/Center
  • Carolina, PR
  • NPI 1306071451
  Medicare reassignment NPD
• Laguna Gardens Radiology and Imaging Group Inc.

  • Mammography Clinic/Center
  • Carolina, PR
  • NPI 1497023592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1124332622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20000",
            "address_2": "PMB 351",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-750-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 857 KM 9.2 BO CARRUZO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-231-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO CARRASQUILLO",
        "first_name": "KAIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina OB-GYN
• Carolina Pediatric Group Corp
• Carolina Pediatric Group Corp
• Carolina Sleep & Epilepsy Center
• Carolina Wound & Skin Care LLC
• Jessica M Carrasquillo Miranda, M.D
• Luis Carrasquillo
• Nayda Ivette Carrasquillo
• Lizmari Carreras-Rivera, MD
• Juan R Carreras, M.D.

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.