Individual provider Active NPI

Angel E Quintana Cruz Sr., DMD

  • General Practice Dentistry
  • Aibonito, PR
National Provider Identifier
1104717859
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3575 Issued in PR
Practice address
Parque Industrial L-238-0-61 Carretera PR-725 KM 05
Barrio Llanos
Aibonito, PR 00705
Phone
(787) 518-0816
NPI assigned
Jul 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3575 PR Primary

Addresses

Primary practice location

Parque Industrial L-238-0-61 Carretera PR-725 KM 05
Barrio Llanos
Aibonito, PR 00705

Mailing address

2-26 Calle 5
Carolina, PR 00983-2934
Phone (787) 518-0816

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309000083 PR Practitioner - Dentist 1153803705 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 -26 Calle
Suite 5
Carolina, PR 00983

2 -26 Calle
Suite 5
Carolina, PR 00983-2934

456 Calle Cesar Gonzalez
San Juan, PR 00918-2628
Phone (787) 753-2376

Calle 5 Bloque
Carolina, PR 00983-2934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3575PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Quintana Dentistry LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

456 Calle Tnte Cesar Gonzalez
San Juan, PR 00918
Phone (312) 451-4244

Organizations & group practices 1

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1104717859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-26 CALLE 5",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832934",
            "telephone_number": "787-518-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARQUE INDUSTRIAL L-238-0-61 CARRETERA PR-725 KM 05",
            "address_2": "BARRIO LLANOS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-518-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA CRUZ",
        "first_name": "ANGEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.