Individual provider Active NPI

Jorge D. Carrera, M.D.

  • Specialist
  • Guaynabo, PR
National Provider Identifier
1427182773
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7777 Issued in PR
Practice address
6TH Street, K-58
Urb. Prado Alto
Guaynabo, PR 00966
Phone
(787) 834-4770
Fax
(787) 265-2120
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7777 PR Primary
Body Imaging Physician 2085B0100X 7777 PR

Addresses

Primary practice location

6TH Street, K-58
Urb. Prado Alto
Guaynabo, PR 00966

Mailing address

6TH Street, K-58
Urb. Prado Alto
Guaynabo, PR 00966
Phone (787) 834-4770

Other names 1

  • Dr. Jorge Damian Carrera Other name

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
I20071108000007 PR Practitioner - Diagnostic Radiology 2668569641 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guaynabo Radiology, LLC CurrentSince Jul 1, 2019 Accepting new patients
X-Ray Diagnostic Center Past Accepting new patients
Western Caribbean Imaging, P.S.C. Past Accepting new patients
Insight Management Group Inc Past Accepting new patients
San Sebastian X Ray Past Accepting new patients

Locations

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1427182773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6TH STREET, K-58",
            "address_2": "URB. PRADO ALTO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-834-4770",
            "fax_number": "787-265-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH STREET, K-58",
            "address_2": "URB. PRADO ALTO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-834-4770",
            "fax_number": "787-265-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "JORGE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7777",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "7777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "CARRERA",
            "middle_name": "DAMIAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.