Individual provider Active NPI

Janelisse M Quintero Gonzalez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1194573030
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24601 Issued in PR
Practice address
Carr 21 Num 1785, Ave Las Lomas #21
Hospital Metropolitano
San Juan, PR 00922
Phone
(787) 782-9999
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2130 PR
General Practice Physician 208D00000X 24601 PR Primary

Addresses

Primary practice location

Carr 21 Num 1785, Ave Las Lomas #21
Hospital Metropolitano
San Juan, PR 00922

Mailing address

Q1 Calle Colonial
San Juan, PR 00926-2130
Phone (787) 506-5801

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
I20250904002858 PR Practitioner - General Practice 4789186289 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 Carr 21 Las Lomas
21 Hospital Metropolitano
San Juan, PR 00922
Phone (787) 782-9999

29 Calle Basilio Catala
Apt 303
Guaynabo, PR 00971

PO Box
San Juan, PR 00919

PO Box
Suite 193044
San Juan, PR 00919-3044

Q1 Calle Colonial
San Juan, PR 00926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2130PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Oct 1, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1194573030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Q1 CALLE COLONIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262130",
            "telephone_number": "787-506-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 21 NUM 1785, AVE LAS LOMAS #21",
            "address_2": "HOSPITAL METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO GONZALEZ",
        "first_name": "JANELISSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2130",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.