Jessica M Carrasquillo Miranda, M.D
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Carolina, PR
NPI 1538487103 · NPPES record last updated Jul 27, 2014
Key facts
- NPI
- 1538487103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 18635 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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)
1672 Calle Parana
San Juan, PR 00926-3145
Phone (787) 766-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000949 | PR | Practitioner - Physical Medicine and Rehabilitation | 4082895511 | Practice locations: Corozal, PR; Naranjito, PR; Rio Piedras, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Terapia F de Naranjito | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Carlos a. Falcon | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Caribbean Pain Institute PSC | Past | Accepting new patients | |
| PMR Center PSC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 18635 | PR | Yes |
Addresses
Primary practice location
11 Calle Floridiano Apt 1109
Chalets de la Fuente
Carolina, PR 00987-7681
Mailing address
11 Calle Floridiano Apt 1109
Chalets de la Fuente
Carolina, PR 00987-7681
Phone (787) 406-6903
Other providers in Carolina, PR
- Carolina Pediatric Group Corp
- Carolina Pediatric Group Corp
- Carolina Sleep & Epilepsy Center
- Carolina Wound & Skin Care LLC
- Kaira Carrasquillo Carrasquillo
- Luis Carrasquillo
- Nayda Ivette Carrasquillo
- Lizmari Carreras-Rivera
- Juan R Carreras
- Jessica Carrion
All providers in Carolina, PR · Physical Medicine & Rehabilitation Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.