Active NPI
Jorge Luis Rivera Carrasquillo
- Student in an Organized Health Care Education/Training Program
- Rochester, NY
National Provider Identifier
1528857414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- University of Rochester Medical Center
300 Crittenden Blvd
Rochester, NY 14642 - Phone
- (585) 275-3563
- NPI assigned
- May 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
University of Rochester Medical Center
300 Crittenden Blvd
Rochester, NY 14642
Mailing address
University of Rochester Medical Center
300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1528857414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ROCHESTER MEDICAL CENTER",
"address_2": "300 CRITTENDEN BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14642",
"telephone_number": "585-275-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ROCHESTER MEDICAL CENTER",
"address_2": "300 CRITTENDEN BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14642",
"telephone_number": "585-275-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA CARRASQUILLO",
"first_name": "JORGE",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.