Active NPI
Jorge Humberto Rodriguez Quintero, MD
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
National Provider Identifier
1033779111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 111 East 210TH St
Bronx, NY 10467 - Phone
- (718) 920-4321
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
111 East 210TH St
Bronx, NY 10467
Mailing address
111 East 210TH St
Bronx, NY 10467
Phone (718) 920-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230421002013 | NY | Order and Referring Only - General Surgery | 4486019684 |
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": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1033779111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ QUINTERO",
"first_name": "JORGE",
"middle_name": "HUMBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Valerie Marie Rodriguez Murga
- Hector Rafael Rodriguez Navarro, MD
- Ediricardo Rodriguez Ortiz, MD
- Adamy Rodriguez Pearson
- Shanna Rodriguez Polanco, MD
- Thamisis M. M Rodriguez Robinson
- Kameiris Maria Rodriguez Rodriguez
- Onelys Rodriguez Rosario, FNP
- David Rodriguez Szaszdi
- Socorro Maria Rodriguez Williams, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.