Active NPI
Guillermo Enrique Carrasquillo II, DPM
- Foot Surgery Podiatrist
- Ponce, PR
National Provider Identifier
1720130842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 00000048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600570 | Other | PR | MMM 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 680 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48 | PR | MD | Acupuncturist |
| 048 | PR | MD | Naturopath |
| 00000048 | PR | MD | Foot Surgery Podiatrist |
| 000645 | WI | MD | Foot 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.