Active NPI
Eric A Quinones-Cordero, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1053334201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10721
- Practice address
- 513 Ave Hostos
Ste 3
San Juan, PR 00918-3235 - Phone
- (787) 767-1095
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10721 | PR | Primary |
Addresses
Primary practice location
513 Ave Hostos
Ste 3
San Juan, PR 00918-3235
Mailing address
509 Ave Hostos
San Juan, PR 00918-3235
Phone (787) 767-1095
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601678 | Other | PR | MEDICARE Y MUCHO MAS |
| 89607 | Other | PR | TRIPLE S INC |
| 310721 | Other | PR | MEDICAL CARD SYSTEM |
| 30205 | Other | PR | PROSSAM |
| 9180391 | Other | PR | HUMANA |
| 060950 | Other | PR | CRUZ 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126000466 | PR | Practitioner - Internal Medicine | 9335328145 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
513 Ave Hostos
Suite 3
San Juan, PR 00918-3231
Phone (787) 767-1095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10721 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1053334201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 AVE HOSTOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183235",
"telephone_number": "787-767-1095",
"fax_number": "787-767-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 AVE HOSTOS",
"address_2": "STE 3",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183235",
"telephone_number": "787-767-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES-CORDERO",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "10721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "601678",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S INC",
"identifier": "89607",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL CARD SYSTEM",
"identifier": "310721",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSSAM",
"identifier": "30205",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9180391",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "060950",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Kaylisha Lymari Quinones Soto
- Mabel E. Quinones Vazquez, PHD
- Sally Quinones- Rodriguez, PSY.D
- Areliz Quinones-Berrios
- Dayna Quinones-Burgos, PHARMD
- Carla Michelle Quinones-Jurgensen, PHARMD
- Randy Quinones-Maldonado, PH.D.
- Victor R. Quinones-Miranda, PSY. D.
- Edda I Quinones-Romero, M.D.
- Fernando Quinones-Zayas, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.