Individual provider Active NPI

Roberto Martinez Quintana, M.D.

  • Pulmonary Disease Physician
  • Hato Rey, PR
National Provider Identifier
1023007523
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
8762 Issued in PR
Practice address
735 Ponce de Leon Ave
Suite 501
Hato Rey, PR 00917-5022
Phone
(787) 756-8480
Fax
(787) 764-3843
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 8762 PR Primary

Addresses

Primary practice location

735 Ponce de Leon Ave
Suite 501
Hato Rey, PR 00917-5022

Mailing address

PO Box 192175
San Juan, PR 00919-2175
Phone (787) 756-8480

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
I20100609000160 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6103956743 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Ponce School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 192175
San Juan, PR 00919-2175

Torre Medica Auxilio Mutuo
735 Ave Ponce Leon Suite 501
San Juan, PR 00917-5026
Phone (787) 756-8480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8762PRMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1023007523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192175",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192175",
            "telephone_number": "787-756-8480",
            "fax_number": "787-764-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "SUITE 501",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-756-8480",
            "fax_number": "787-764-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ QUINTANA",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "8762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.