Jose M Rivera Carrasquillo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15206 Issued in PR

Practice address

Carretera 455 KM 2.0 Bo Quebrada
Camuy, PR 00627

Phone

(787) 544-0472

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jose M Rivera Carrasquillo Professional name

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

General Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio la Providencia Hospice, Ponce, PR, CCN 401500

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Grupo Medico Otoao, PSC

  • General Practice Physician
  • Camuy, PR
  • NPI 1336404375
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Servicios de Salud En El Hogar la Providencia Inc

  • Community Based Hospice Care Agency
  • Ponce, PR
  • NPI 1194831750
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1649204223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3190",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133190",
            "telephone_number": "787-544-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 455 KM 2.0 BO QUEBRADA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-544-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CARRASQUILLO",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "RIVERA CARRASQUILLO",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dainamar Ramos
• Restore Chiropractic Clinic
• Josean Gabriel Reyes Flores
• Kimberly Rios, MA, L.PSYCH.
• Nestor Rivas, DC
• Ciprian Rivera Cruz, M.D.
• Ariel Rivera Guillama, PSY.D.
• Zoelie Rivera Jimenez
• Jeneliz Rivera Miranda
• Onell Rivera Morales

• General Practice Physician in Camuy, PR
• Providers in Camuy, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.