Individual provider Active NPI

Mario E. Quintero - Aguilo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Mayaguez, PR
National Provider Identifier
1164417150
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
14807 Issued in PR
Practice address
Las Flores 60 Ens. Martinez
Mayaguez, PR 00680-0000
Phone
(787) 951-1771
NPI assigned
Sep 15, 2005
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 14807 PR Primary

Addresses

Primary practice location

Las Flores 60 Ens. Martinez
Mayaguez, PR 00680-0000

Mailing address

PO Box 294
Mayaguez, PR 00681-0294
Phone (787) 951-1771

Other identifiers 9

IdentifierTypeStateIssuer
100041OtherPRCRUZ AZUL
221055OtherPRPREFFERRED UTI
22311OtherPRTRIPLE 2
660606085OtherPRMEDICAL CARD SYSTEMS
20170COtherPRPREFERRED MEDICARE CHOICE
5106085OtherPRUIA
6800165OtherPRHUMANA INSURANCE
660606085OtherPRSERVICIOS DE SALUD BELLA
PE4613OtherPRPAN AMERICAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14807PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pathology CSP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1164417150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810294",
            "telephone_number": "787-951-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS FLORES 60 ENS. MARTINEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-951-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO - AGUILO",
        "first_name": "MARIO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "14807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "100041",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERRED UTI",
            "identifier": "221055",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE 2",
            "identifier": "22311",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEMS",
            "identifier": "660606085",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "20170C",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "5106085",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6800165",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICIOS DE SALUD BELLA",
            "identifier": "660606085",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN",
            "identifier": "PE4613",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.