Jose Rafael Carrasquillo
Counselor in Springfield, MA. Individual provider (NPI-1).
NPI number1407375439
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1407375439
- Entity type
- Individual (NPI-1)
- Name
- Jose Rafael Carrasquillo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2017
- Last updated
- Sep 11, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2155 Main StSpringfield, MA 01104-3301
Phone 413-736-0395
Mailing address
2155 Main StSpringfield, MA 01104-3301
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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