Organization Active NPI

Dra Mariela Perez Quintana LLC

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1003648569
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DRA MARIELA PEREZ QUINTANA LLC
Practice address
200 Calle Palma Real Apt 213
Ponce, PR 00716-2584
Phone
(787) 974-2644
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariela Perez Quintana, MD
Title
Authorized Official
Phone
(787) 974-2644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

200 Calle Palma Real Apt 213
Ponce, PR 00716-2584

Mailing address

200 Calle Palma Real Apt 213
Ponce, PR 00716-2584

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1003648569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE PALMA REAL APT 213",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE PALMA REAL APT 213",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162584",
            "telephone_number": "787-974-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA MARIELA PEREZ QUINTANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ QUINTANA",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "787-974-2644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.