JOMAR ABRAHAM CARRASQUILLO RIVERA
NPI 1659172856
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Jomar Carrasquillo Rivera's NPI number?

The NPI number for Jomar Carrasquillo Rivera is 1659172856. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Jomar Carrasquillo Rivera's specialty?

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

Active since March 24, 2025PECOS Enrolled

11750 SW 40TH ST, MIAMI, FL 33175(305) 222-5253 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jomar Abraham Carrasquillo Rivera NPPES

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

JOMAR ABRAHAM CARRASQUILLO RIVERA (NPI 1659172856) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659172856

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOMAR ABRAHAM CARRASQUILLO RIVERA

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address11750 Sw 40th StMiami, FL 33175-3530 · (305) 222-5253

Phone(305) 222-5253

Sole ProprietorNo

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 22, 2025

✔ NPI 1659172856 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.

11750 SW 40TH ST, Miami, FL 33175

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jomar Abraham Carrasquillo Rivera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)