Individual provider Active NPI

Virgen Milagros Quinones Fernandini, MD, PSYCHIATRIST

  • Child & Adolescent Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1053570457
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
17893 Issued in PR
Practice address
701 Portales del Monte
Ponce, PR 00780-2007
Phone
(914) 318-2258
Fax
(787) 652-4773
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 17893 PR Primary
Child & Adolescent Psychiatry Physician 2084P0804X 254852-1 NY

Addresses

Primary practice location

701 Portales del Monte
Ponce, PR 00780-2007

Mailing address

701 Portales del Monte
Ponce, PR 00780-2007
Phone (914) 318-2258

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
I20160909001443 PR Practitioner - Psychiatry 8123314648 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17893PRMDRegistered Nurse
254852-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince Jun 11, 2016 Accepting new patients
Tiber Health, Public Benefit Corporation Child & Adolescent Psychiatry Current Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation CurrentSince Jun 11, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372464000000",
    "number": "1053570457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PORTALES DEL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007802007",
            "telephone_number": "914-318-2258",
            "fax_number": "787-652-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PORTALES DEL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007802007",
            "telephone_number": "914-318-2258",
            "fax_number": "787-652-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES FERNANDINI",
        "first_name": "VIRGEN",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "MD, PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "17893",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "254852-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.