Active NPI
Medical Office of Dr Jorge Crespo Carrillo PSC
- Urology Physician
- Rio Piedras, PR
National Provider Identifier
1386716009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MEDICAL OFFICE OF DR JORGE CRESPO CARRILLO PSC
- 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
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Crespo, M.D.
- Title
- Owner President
- Phone
- (787) 282-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
Torre San Francisco
Suite 502 Calle de Diego 369
Rio Piedras, PR 00923
Mailing address
PO Box 19899
San Juan, PR 00910-1899
Phone (787) 282-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
369 Calle de Diego
Ste 502
San Juan, PR 00923
Phone (787) 282-0333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Rio Piedras, PR
- NPI 1134311483
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1578782728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1386716009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19899",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009101899",
"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": {
"organization_name": "MEDICAL OFFICE OF DR JORGE CRESPO CARRILLO PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "CRESPO",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "787-282-0333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.