Individual provider Active NPI

Mary K Hurd Quinones, MD

  • Internal Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1003848565
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77643 Issued in FL
Practice address
20 Cypress Point Pkwy
Palm Coast, FL 32164-7528
Phone
(386) 586-7005
Fax
(844) 867-3940
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77643 FL Primary

Addresses

Primary practice location

20 Cypress Point Pkwy
Palm Coast, FL 32164-7528

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

3305 SW 34th Cir
Ste 201
Ocala, FL 34474-6616
Phone (352) 401-7575

Other identifiers 1

IdentifierTypeStateIssuer
256485800MedicaidFL

Other names 1

  • Mary K Hurd Quinones Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.hurdquinones@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000017 FL Practitioner - Internal Medicine 0547329237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME77643FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simed Health LLC CurrentSince Apr 1, 2018 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Simedhealth LLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients

Locations

4741 NW 8th Ave
Ste C
Gainesville, FL 32605
Phone (352) 375-0302

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3305 SW 34th Cir
Ste 201
Ocala, FL 34474
Phone (352) 401-7575

3305 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 373-4321

20 Cypress Point Pkwy
Ste A
Palm Coast, FL 32164
Phone (386) 586-7005

21 Hospital Dr
Ste 125
Palm Coast, FL 32164
Phone (386) 586-1705

20 Cypress Point Pkwy
Palm Coast, FL 32164
Phone (386) 206-5177

Interoperability endpoints

  • Direct secure messaging: mary.hurdquinones@conviva.eclinicaldirectplus.com
  • Direct secure messaging: mary.hurd-quinones@simedhealth.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1003848565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CYPRESS POINT PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647528",
            "telephone_number": "386-586-7005",
            "fax_number": "844-867-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 SW 34th Cir",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344746616",
            "country_code": "US",
            "telephone_number": "352-401-7575",
            "fax_number": "352-401-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD QUINONES",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256485800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.hurdquinones@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Hospital Dr Ste 125",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321642455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HURD QUINONES",
            "middle_name": "K",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.