Individual provider Active NPI

Jose Angel Quinones, MD

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1174088215
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21209 Issued in PR
Practice address
J22 Suite 4 Calle Myrna
Levittown
Toa Baja, PR 00949-3128
Phone
(939) 264-4822
NPI assigned
Feb 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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 21209 PR Primary

Addresses

Primary practice location

J22 Suite 4 Calle Myrna
Levittown
Toa Baja, PR 00949-3128

Mailing address

J22 Suite 4 Calle Myrna, Levittown
Toa Baja, PR 00949-3128
Phone (939) 264-4822

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
I20190625002321 PR Practitioner - General Practice 4486988466 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Group LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

J22 Calle Myrna
Toa Baja, PR 00949
Phone (787) 434-2559

J22 Calle Myrna
Ste 4
Toa Baja, PR 00949
Phone (939) 264-4822

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1174088215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J22 SUITE 4 CALLE MYRNA, LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493128",
            "telephone_number": "939-264-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J22 SUITE 4 CALLE MYRNA",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493128",
            "telephone_number": "939-264-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JOSE ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-03",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.