Active NPI
Mario E. Quintero - Aguilo, MD
- Anatomic Pathology & Clinical Pathology Physician
- Mayaguez, PR
National Provider Identifier
1164417150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 14807
- Practice address
- Las Flores 60 Ens. Martinez
Mayaguez, PR 00680-0000 - Phone
- (787) 951-1771
- NPI assigned
- Sep 15, 2005
- Last updated
- Mar 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100041 | Other | PR | CRUZ AZUL |
| 221055 | Other | PR | PREFFERRED UTI |
| 22311 | Other | PR | TRIPLE 2 |
| 660606085 | Other | PR | MEDICAL CARD SYSTEMS |
| 20170C | Other | PR | PREFERRED MEDICARE CHOICE |
| 5106085 | Other | PR | UIA |
| 6800165 | Other | PR | HUMANA INSURANCE |
| 660606085 | Other | PR | SERVICIOS DE SALUD BELLA |
| PE4613 | Other | PR | PAN 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14807 | PR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New 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.