Individual provider Active NPI

Desiree M Quinones Maymi, M.D.

  • Diagnostic Radiology Physician
  • Ponce, PR
National Provider Identifier
1063562346
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14302 Issued in PR
Practice address
2435 Blvd Luis a Ferre
Hosp. Metropolitano Dr. Pila/Depart. de Radiologia
Ponce, PR 00717-2112
Phone
(787) 848-5600
Fax
(787) 842-9324
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14302 PR Primary

Addresses

Primary practice location

2435 Blvd Luis a Ferre
Hosp. Metropolitano Dr. Pila/Depart. de Radiologia
Ponce, PR 00717-2112

Mailing address

Ext. Quintas de Monserrate
8 Calle 6
Ponce, PR 00730-1747
Phone (787) 671-8959

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
I20080703000062 PR Practitioner - Diagnostic Radiology 3779655956 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14302PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Feb 1, 2020 Accepting new patients
Rad Imaging Services LLC Diagnostic Radiology CurrentSince Mar 10, 2014 Accepting new patients
Laboratorio Clinico Y de Ref de Fajardo Inc CurrentSince May 1, 2020 Accepting new patients
Advance Digital Image, Corp Diagnostic Radiology CurrentSince Jul 20, 2020 Accepting new patients
Centro Medico del Turabo Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 1, 2020 Accepting new patients
Dr Pedro Farinacci Morales LLC Diagnostic Radiology CurrentSince Dec 15, 2023 Accepting new patients
Insight Management Group Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Caribe Physicians Plaza Corporation CurrentSince May 1, 2020 Accepting new patients
Aguada Medical Center Care Club PastSince Jan 21, 2020 Accepting new patients
TMR Diagnostic Imaging Past Accepting new patients
Neuro Skeletal Imaging PSC Diagnostic Radiology PastSince May 7, 2023 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology Past Accepting new patients
Zenith Health Group LLC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

2435 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 651-5577

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1063562346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT. QUINTAS DE MONSERRATE",
            "address_2": "8 CALLE 6",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301747",
            "telephone_number": "787-671-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 BLVD LUIS A FERRE",
            "address_2": "HOSP. METROPOLITANO DR. PILA/DEPART. DE RADIOLOGIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172112",
            "telephone_number": "787-848-5600",
            "fax_number": "787-842-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES MAYMI",
        "first_name": "DESIREE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "14302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.