Jorge Licano, MD
NPI 1629679808 · Student in an Organized Health Care Education/Training Program · Albuquerque, NM
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jorge Licano, MD is a Student in an Organized Health Care Education/Training Program provider in Albuquerque, NM (NPI 1629679808).
Provider details
- NPI number
- 1629679808
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- RS2024-0050 (NM)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense RS2024-0050 (NM)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Jorge Licano's NPI number?
- Jorge Licano's National Provider Identifier (NPI) is 1629679808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jorge Licano's specialty?
- Jorge Licano is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jorge Licano located?
- Jorge Licano's practice location on file with NPPES is Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001.
- What is Jorge Licano's phone number?
- The practice phone number listed in the NPPES registry for Jorge Licano is (505) 272-4661.
- Does Jorge Licano accept Medicare?
- Jorge Licano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jorge Licano's NPI active?
- Yes — Jorge Licano's NPI (1629679808) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.