Individual provider Active NPI

Aida L Quintero Noriega, MD

  • Dermatology Physician
  • Manati, PR
National Provider Identifier
1003898818
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9592 Issued in PR
Practice address
E29 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622
Phone
(787) 854-0740
Fax
(787) 854-8143
NPI assigned
Nov 17, 2005
Last updated
Nov 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 9592 PR Primary

Addresses

Primary practice location

E29 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622

Mailing address

450 Ave de la Constitucion
Apt 8E
San Juan, PR 00901-2307
Phone (787) 725-2562

Other identifiers 1

IdentifierTypeStateIssuer
067525OtherCRUZ AZUL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20050921000732 PR Practitioner - Dermatology 0648204453 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171

47 Calle Benitez Guzman
Vieques, PR 00765-3029
Phone (787) 268-4171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27
Skin biopsy31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Jun 1, 2023 Accepting new patients
HPM Foundation Inc Current Accepting new patients
HPM Foundation Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915
Phone (787) 604-2908

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1003898818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AVE DE LA CONSTITUCION",
            "address_2": "APT 8E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012307",
            "telephone_number": "787-725-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E29 CALLE HERNANDEZ CARRION",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-854-0740",
            "fax_number": "787-854-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO NORIEGA",
        "first_name": "AIDA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "9592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.