Individual provider Active NPI

Jose Rafael Carlo-Izquierdo, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • San Juan, PR
National Provider Identifier
1710023668
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
7092 Issued in PR
Practice address
Ppmi-RCM Ave. Americo Miranda Aptdo. 19134
Centro Medico de PR Edif Principal Escuela de Medicina
San Juan, PR 00929
Phone
(787) 758-2525
Fax
(787) 754-0474
NPI assigned
Jan 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 7092 PR
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 7092 PR Primary

Addresses

Primary practice location

Ppmi-RCM Ave. Americo Miranda Aptdo. 19134
Centro Medico de PR Edif Principal Escuela de Medicina
San Juan, PR 00929

Mailing address

Urb. San Francisco 1712 Lilas St.
San Juan, PR 00927
Phone (787) 764-4474

Other identifiers 1

IdentifierTypeStateIssuer
7092OtherPRSTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101116000121 PR Practitioner - Neurology 8820154818 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910

Bo Monacillos
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone (787) 754-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7092PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Neurology CurrentSince Aug 14, 2011 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 14, 2011 Accepting new patients
Centro de Investigacion Educacion Y Servicios Medicos Para la Diabetes PastSince Feb 11, 2004 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710023668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SAN FRANCISCO 1712 LILAS ST.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-764-4474",
            "fax_number": "787-754-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PPMI-RCM AVE. AMERICO MIRANDA APTDO. 19134",
            "address_2": "CENTRO MEDICO DE PR EDIF PRINCIPAL ESCUELA DE MEDICINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00929",
            "telephone_number": "787-758-2525",
            "fax_number": "787-754-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLO-IZQUIERDO",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "7092",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PR",
            "license": "7092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7092",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.