Mariela Perez Quintana, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23794 Issued in PR

Practice address

200 Calle Palma Real
Ponce, PR 00716-2575

Phone

(787) 974-2644

NPI assigned

May 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mariela.perezquintana@4048.securemail.prognocis.com

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.

• Clinica Las Americas Guaynabo, Inc

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1326096058
  Medicare reassignment

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1083461669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE PALMA REAL APT 213",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE PALMA REAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162575",
            "telephone_number": "787-974-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ QUINTANA",
        "first_name": "MARIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Perez Negron, ATOL
• Rene Javier Perez Pacheco
• Lorianne Alejandra Perez Perez, DC
• Derek Perez Pieraldi, PSYD
• Luis Manuel Perez Portocarrero, MD, MS
• Adriana G. Perez Rivera, PHARM.D.
• Jennifer Marie Perez Rivera
• Eduardo Perez Rodriguez, M.D.
• Heidi Marie Perez Roman, M.D.
• Michelle Marielle Perez Roman

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.