Individual provider Active NPI

Elisa M. Quintero-Mendez, M.D.

  • Anesthesiology Physician
  • Rio Piedras, PR
National Provider Identifier
1023218930
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17546 Issued in PR
Practice address
Anesthesiology Department Upr School of Medicine
Main Building School of Medicine Suite 989
Rio Piedras, PR 00935
Phone
(787) 758-0640
Fax
(787) 758-1327
NPI assigned
Jul 19, 2007
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17546 PR Primary
Pediatric Anesthesiology Physician 207LP3000X 17546 PR

Addresses

Primary practice location

Anesthesiology Department Upr School of Medicine
Main Building School of Medicine Suite 989
Rio Piedras, PR 00935

Mailing address

Department of Anesthesiology Upr School of Medicine
Pobox 365067
San Juan, PR 00936-5067
Phone (787) 758-0640

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
I20120418000774 PR Practitioner - AnesthesiologyPractitioner - Other (Physician) 5799946778 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17546PRMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Mar 4, 2012 Accepting new patients
Recinto de Ciencias Medicas Anesthesiology CurrentSince Mar 4, 2012 Accepting new patients

Locations

Centro Medico De Puerto Ri
San Juan, PR 00935

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935
Phone (787) 751-6034

Organizations & group practices 2

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1023218930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF ANESTHESIOLOGY UPR SCHOOL OF MEDICINE",
            "address_2": "POBOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-0640",
            "fax_number": "787-758-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANESTHESIOLOGY DEPARTMENT UPR SCHOOL OF MEDICINE",
            "address_2": "MAIN BUILDING SCHOOL OF MEDICINE SUITE 989",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-758-0640",
            "fax_number": "787-758-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO-MENDEZ",
        "first_name": "ELISA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "17546",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PR",
            "license": "17546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.