Organization Active NPI

Policlinica Dr. Luis Rodriguez Carrasquillo, PSC

  • Health Service Clinic/Center
  • Carolina, PR
National Provider Identifier
1346570207
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
POLICLINICA DR. LUIS RODRIGUEZ CARRASQUILLO, PSC
Practice address
Campo Rico St . A6
Castellana Gardens
Carolina, PR 00983
Phone
(787) 752-7897
Fax
(787) 768-0689
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Liz Orozco Rios
Title
Medical Biller
Phone
(787) 752-7897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PR Primary

Addresses

Primary practice location

Campo Rico St . A6
Castellana Gardens
Carolina, PR 00983

Mailing address

PO Box 3762
Carolina, PUERTO RICO 00984
UM
Phone (787) 752-7897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000059 PR Part B Supplier - Clinic/Group Practice 9234315292 Receives reassigned benefits from 3 practitioners
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1346570207",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 3762",
            "city": "CAROLINA",
            "state": "PUERTO RICO",
            "postal_code": "00984",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPO RICO ST . A6",
            "address_2": "CASTELLANA GARDENS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DR. LUIS RODRIGUEZ CARRASQUILLO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "OROZCO RIOS",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "787-752-7897"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.