Individual provider Active NPI

Yamilette Burgos-Quinones, M.D

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1083022313
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
295744 Issued in NY
Practice address
625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone
(813) 228-7696
Fax
(813) 228-0677
NPI assigned
Jul 30, 2014
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 295744 NY Primary
General Practice Physician 208D00000X 31401R PR

Addresses

Primary practice location

625 E Twiggs St Ste 103
Tampa, FL 33602-3925

Mailing address

625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone (813) 228-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190220000860 NY Practitioner - Physical Medicine and Rehabilitation 7012255813 Reassigns benefits to 1 organization
I20220331000088 FL Practitioner - Physical Medicine and Rehabilitation 7012255813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation and Electrodiagnostics PAGroup PAC ID 1153364955, 31 clinicians

Practice addresses (Care Compare)

625 E Twiggs St
Suite 103
Tampa, FL 33602-3910
Phone (813) 228-7696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295744NYMDLicensed Practical Nurse
31401RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2019 Accepting new patients
Rehabilitation and Electrodiagnostics PA Physical Medicine & Rehabilitation CurrentSince May 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2019 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients

Locations

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: yburgosquinones266203@direct.tgh.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1083022313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS-QUINONES",
        "first_name": "YAMILETTE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "295744",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "31401R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.