Organization Active NPI

Medical Office of Dr Jorge Crespo Carrillo PSC

  • Urology Physician
  • Rio Piedras, PR
National Provider Identifier
1386716009
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Dec 18, 2007

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080325000099 PR Part B Supplier - Clinic/Group Practice 1153407648 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR; Carolina, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.