Individual provider Active NPI

Gerardo Quinonez, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1124023239
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80428 Issued in FL
Practice address
1700 W Woolbright Rd
Ste 5
Boynton Beach, FL 33426-6346
Phone
(561) 369-2144
Fax
(561) 369-2117
NPI assigned
Jun 15, 2005
Reactivated
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME80428 FL
Internal Medicine Physician 207R00000X ME80428 FL Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
264184400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040322001190 FL Practitioner - Internal Medicine 5597656355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8190 Jog Rd
Boynton Beach, FL 33472-2911

8190 S Jog Rd
Boynton Beach, FL 33472-2911

Hospital & facility affiliations

  • Elder'S Choice, Inc. Home health agency, West Palm Beach, FL, CCN 109177
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80428FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerardo Quinonez, M.D., P.a. Internal Medicine CurrentSince Aug 5, 2005 Accepting new patients
Siperstein Dermatology Group, PLLC PastSince Nov 26, 2012 Accepting new patients

Locations

8190 S Jog Rd
Ste 100
Boynton Beach, FL 33472
Phone (561) 369-2144

1700 W Woolbright Rd
Ste 5
Boynton Beach, FL 33426
Phone (561) 364-7774

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1124023239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W WOOLBRIGHT RD",
            "address_2": "STE 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": "STE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266346",
            "telephone_number": "561-369-2144",
            "fax_number": "561-369-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-06-19",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME80428",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264184400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.