Individual provider Active NPI

Cesar H Medina Quinones, MD

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1174572242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11244 Issued in PR
Practice address
Road 111 KM 1.9
Ave Los Pariotas
Lares, PR 00669
Phone
(787) 897-2727
Fax
(787) 897-2725
NPI assigned
May 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11244 PR Primary

Addresses

Primary practice location

Road 111 KM 1.9
Ave Los Pariotas
Lares, PR 00669

Mailing address

Hco3 Box 17078 Carr 4491 RM 1-0
Barrio Puente
Camuy, PR 00627
Phone (787) 820-4872

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
I20110623000690 PR Practitioner - General Practice 9830377746 Practice locations: Camuy, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Estrella
Suite 6
Camuy, PR 00627-9531
Phone (787) 898-4154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cesar H Medina Inc General Practice CurrentSince Nov 30, 2025 Accepting new patients
Centro de Salud de Lares, Inc. Past Accepting new patients

Locations

6 Calle Estrella S
Camuy, PR 00627
Phone (787) 898-4154

Organizations & group practices 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174572242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCO3 BOX 17078 CARR 4491 RM 1-0",
            "address_2": "BARRIO PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-820-4872",
            "fax_number": "787-898-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 111 KM 1.9",
            "address_2": "AVE LOS PARIOTAS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-2727",
            "fax_number": "787-897-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA QUINONES",
        "first_name": "CESAR",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.