Jessica M Carrasquillo Miranda, M.D

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

18635 Issued in PR

Practice address

11 Calle Floridiano Apt 1109
Chalets de la Fuente
Carolina, PR 00987-7681

Phone

(787) 406-6903

NPI assigned

May 6, 2010

Last updated

Jul 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

University Central del Caribe Escuela de Medicina, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Caribbean Pain Institute PSC

  • Pain Clinic/Center
  • San Juan, PR
  • NPI 1164813853
  NPD (past)
• Carlos a. Falcon

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1164865994
  NPD (past)
• Centro de Terapia F de Naranjito

  dba Jose E Arias Benabe

  • Physical Medicine & Rehabilitation Physician
  • Naranjito, PR
  • NPI 1518956317
  NPD (past)
• PMR Center PSC

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1568869659
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1538487103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CALLE FLORIDIANO APT 1109",
            "address_2": "CHALETS DE LA FUENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877681",
            "telephone_number": "787-406-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE FLORIDIANO APT 1109",
            "address_2": "CHALETS DE LA FUENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877681",
            "telephone_number": "787-406-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO MIRANDA",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "18635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pediatric Group Corp
• Carolina Pediatric Group Corp
• Carolina Sleep & Epilepsy Center
• Carolina Wound & Skin Care LLC
• Kaira Carrasquillo Carrasquillo, M.D.
• Luis Carrasquillo
• Nayda Ivette Carrasquillo
• Lizmari Carreras-Rivera, MD
• Juan R Carreras, M.D.
• Jessica Carrion, PTA

• Physical Medicine & Rehabilitation Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.