Individual provider Active NPI

Rolando Quinones Recio

  • General Practice Physician
  • Santunce, PR
National Provider Identifier
1023112430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5118 Issued in PR
Practice address
Santa Cecilia Street # 103
Santunce, PR 00911
Phone
(787) 565-8697
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5118 PR Primary

Addresses

Primary practice location

Santa Cecilia Street # 103
Santunce, PR 00911

Mailing address

Santa Cecilia Street # 103
Santunce, PR 00911
Phone (787) 565-8697

Other identifiers 3

IdentifierTypeStateIssuer
5118OtherPRLICENSE
A09623427OtherPRNONE
DM040170OtherPRNONE

Other names 1

  • Dr. Rolando Quinones Recio Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023112430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA CECILIA STREET # 103",
            "city": "SANTUNCE",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-565-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CECILIA STREET # 103",
            "city": "SANTUNCE",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-565-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES RECIO",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5118",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "A09623427",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "DM040170",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLANDO",
            "last_name": "QUINONES RECIO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.