Eduardo Jose Quintanilla Jerez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

U7933 Issued in TX

Practice address

1975 N Veterans Blvd Ste 5
Eagle Pass, TX 78852-4456

Phone

(830) 773-9449

NPI assigned

Jul 14, 2020

Sex

Male

Sole proprietor

No

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 TX

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

Practice roles

Locations

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.

• Eliezer Hernandez MD P.a.

  • Rural Health Clinic/Center
  • Eagle Pass, TX
  • NPI 1770540684
  Medicare reassignment NPD
• Fort Duncan Medical Center LP

  • General Acute Care Hospital
  • Eagle Pass, TX
  • NPI 1770579591
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1164040358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 5",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-773-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 5",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-773-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA JEREZ",
        "first_name": "EDUARDO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U7933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Anthony Pitts III
• Jacob Pizana
• Primary Care of Eagle Pass PLLC
• Priscilla R Heredia OD PLLC
• Patricia Macatangay Quinio
• R R Hixson, Inc.
• Cassandra Michelle Ramirez
• Anita Rosalinda Ramos
• Joel Rangel
• Blanca Erika Regalado

• Pediatrics Physician in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.