Individual provider Active NPI

Carmen Lourdes Carrrasquillo, RN

  • Registered Nurse
  • Caguas, PR
National Provider Identifier
1558771675
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
998 Issued in PR
Practice address
ZZ44 Calle 25
Villas del Rio Verde
Caguas, PR 00725-6469
Phone
(817) 919-1822
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 998 PR Primary

Addresses

Primary practice location

ZZ44 Calle 25
Villas del Rio Verde
Caguas, PR 00725-6469

Mailing address

ZZ44 Calle 25
Urb. Villas del Rio Verde
Caguas, PR 00725-6469
Phone (817) 919-1822

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
998PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1558771675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ZZ44 CALLE 25",
            "address_2": "URB. VILLAS DEL RIO VERDE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256469",
            "telephone_number": "817-919-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZZ44 CALLE 25",
            "address_2": "VILLAS DEL RIO VERDE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256469",
            "telephone_number": "817-919-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRRASQUILLO",
        "first_name": "CARMEN",
        "middle_name": "LOURDES",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.