Individual provider Active NPI

Guillermo Enrique Carrasquillo II, DPM

  • Foot Surgery Podiatrist
  • Ponce, PR
National Provider Identifier
1720130842
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00000048 Issued in PR
Practice address
8133 Calle Concordia Ste 201
Ponce, PR 00717-1543
Phone
(787) 843-7770
Fax
(787) 680-0197
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 000645 WI
Foot Surgery Podiatrist 213ES0131X 00000048 PR Primary

Addresses

Primary practice location

8133 Calle Concordia Ste 201
Ponce, PR 00717-1543

Mailing address

PO Box 429
Mercedita, PR 00715-0429
Phone (787) 843-7770

Other identifiers 1

IdentifierTypeStateIssuer
600570OtherPRMMM HEALTH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000149 PR Practitioner - Podiatry 6800045329 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8133 Calle Concordia
Suite 201
Ponce, PR 00717-1517
Phone (787) 843-7770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue680
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48PRMDAcupuncturist
048PRMDNaturopath
00000048PRMDFoot Surgery Podiatrist
000645WIMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1720130842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150429",
            "telephone_number": "787-843-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 CALLE CONCORDIA STE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171543",
            "telephone_number": "787-843-7770",
            "fax_number": "787-680-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "GUILLERMO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "000645",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PR",
            "license": "00000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTH",
            "identifier": "600570",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.