Individual provider Active NPI

Maricarmen Quinones, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1164606141
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16984 Issued in PR
Practice address
864 Ave San Patricio
Urb. Las Lomas
San Juan, PR 00921-1308
Phone
(787) 792-3203
Fax
(787) 273-6970
NPI assigned
Dec 26, 2007
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16984 PR Primary

Addresses

Primary practice location

864 Ave San Patricio
Urb. Las Lomas
San Juan, PR 00921-1308

Mailing address

96 Valle Escondido
Guaynabo, PR 00971
Phone (787) 477-1118

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000179 PR Practitioner - General Practice 3577695220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

864 Ave San Patricio
San Juan, PR 00921-1308
Phone (787) 792-3203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16984PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Ambulatory Services Inc. CurrentSince Aug 31, 2016 Accepting new patients
JVT Medical Center LLC Primary Care CurrentSince Jan 1, 2021 Accepting new patients
MQV LLC Primary Care PastSince Apr 27, 2021 Accepting new patients

Locations

864 Ave San Patricio
San Juan, PR 00921
Phone (787) 792-3203

Organizations & group practices 3

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1164606141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 VALLE ESCONDIDO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-477-1118",
            "fax_number": "787-273-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 AVE SAN PATRICIO",
            "address_2": "URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211308",
            "telephone_number": "787-792-3203",
            "fax_number": "787-273-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "MARICARMEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2024-03-04",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.