Nicole Quintana, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056929-1 Issued in NY

Practice address

HC 5 Box 56898
San Sebastian, PR 00685-5844

Phone

(787) 219-2786

NPI assigned

Sep 26, 2013

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quintana Serrano Dental, Inc

  • Dentist
  • Isabela, PR
  • NPI 1780045773
  NPD (past) Authorized official
• VKT Dental

  • General Practice Dentistry
  • Isabela, PR
  • NPI 1083808455
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1144657818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 56898",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855844",
            "telephone_number": "787-219-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 56898",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855844",
            "telephone_number": "787-219-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056929-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Mari Quintana Baez
• Marieliz Enid Quintana Baez
• Myrta Y Quintana Latorre, MD
• Quintana Medical Transport Inc
• Brenda Liz Quintana Montalvo, PSY.D.
• Jose E Rabell, DDS
• David Raczynski, LCSW
• Paola Raffols de Jesus, MD
• Shakira Ramirez Torres
• Arlene Ramirez

• General Practice Dentistry in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.