Individual provider Active NPI

Jorge Crespo Carrillo, M.D.

  • Urology Physician
  • Rio Piedras, PR
National Provider Identifier
1134311483
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
09014 Issued in PR
Practice address
Torre San Francisco
Suite 502 Calle de Diego 369
Rio Piedras, PR 00923
Phone
(787) 282-0333
Fax
(787) 250-1408
NPI assigned
Aug 10, 2007
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 09014 PR Primary

Addresses

Primary practice location

Torre San Francisco
Suite 502 Calle de Diego 369
Rio Piedras, PR 00923

Mailing address

PO Box 19899
Fernandez Juncos Station
San Juan, PR 00910
Phone (787) 282-0333

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080226000158 PR Practitioner - Urology 3577647866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Calle de Diego
San Juan, PR 00923-3003
Phone (787) 282-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9014PRMDSocial Worker
09014PRMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office of Dr Jorge Crespo Carrillo PSC Urology CurrentSince Feb 11, 2008 Accepting new patients

Locations

369 Calle de Diego
Ste 502
San Juan, PR 00923
Phone (787) 282-0333

Interoperability endpoints

  • Direct secure messaging: jorge.carrillo@3263.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1134311483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19899",
            "address_2": "FERNANDEZ JUNCOS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-282-0333",
            "fax_number": "787-250-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN FRANCISCO",
            "address_2": "SUITE 502 CALLE DE DIEGO 369",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-282-0333",
            "fax_number": "787-250-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO CARRILLO",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "09014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.