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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORGE LUIS RIVERA CARRASQUILLO PHD
NPI 1528857414
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since May 06, 2025
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jorge Luis Rivera Carrasquillo Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE LUIS RIVERA CARRASQUILLO PHD (NPI 1528857414) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since May 2025. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1528857414
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORGE LUIS RIVERA CARRASQUILLOCredential: PHD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorYes
Enumeration DateMay 6, 2025
Last NPPES UpdateOctober 25, 2026
NPPES CertifiedOctober 25, 2026
✔ NPI 1528857414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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Secondary Practice Location 1

Location 1University of Rochester Medical Center, 300 Crittenden BlvdRochester, NY 14642 · Phone (585) 275-3563

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Rivera Carrasquillo's NPI number?

The NPI number for Jorge Rivera Carrasquillo is 1528857414. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Jorge Rivera Carrasquillo located?

Jorge Rivera Carrasquillo practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Jorge Rivera Carrasquillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jorge Rivera Carrasquillo was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.