Organization Active NPI

Gerardo Quinonez, M.D., P.a.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1073533683
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80428 Issued in FL
Legal business name
GERARDO QUINONEZ, M.D., P.A.
Practice address
1700 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6346
Phone
(561) 369-2144
Fax
(561) 369-2117
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Gerardo Quinonez, M.D.NPI 1124023239
Title
Medical Director
Phone
(561) 369-2144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME80428 FL Primary

Addresses

Primary practice location

1700 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6346

Mailing address

1700 W Woolbright Rd
Suite #5
Boynton Beach, FL 33426-6346
Phone (561) 369-2144

Other identifiers 1

IdentifierTypeStateIssuer
264184400MedicaidFL

Other names 1

  • Internal Medicine of Boynton Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100215000321 FL Part B Supplier - Clinic/Group Practice 5799782207 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1073533683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W WOOLBRIGHT RD",
            "address_2": "SUITE #5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266346",
            "telephone_number": "561-369-2144",
            "fax_number": "561-369-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W WOOLBRIGHT RD",
            "address_2": "SUITE #5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266346",
            "telephone_number": "561-369-2144",
            "fax_number": "561-369-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO QUINONEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-369-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264184400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Boynton Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.