Individual provider Active NPI

Oscar R Quintero Serrano, MD

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1194723262
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10601 Issued in PR
Practice address
450 Calle Ferrocarril
Suite 302 Santa Maria Medical Building
Ponce, PR 00717-1194
Phone
(787) 844-6669
Fax
(787) 844-6888
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10601 PR Primary

Addresses

Primary practice location

450 Calle Ferrocarril
Suite 302 Santa Maria Medical Building
Ponce, PR 00717-1194

Mailing address

430 Calle Ruisenor
Caminos del Sur
Ponce, PR 00716-2829
Phone (787) 844-6669

Other identifiers 1

IdentifierTypeStateIssuer
1194723262OtherPRNPI

Other names 1

  • Dr. Oscar R Quintero Serrano Professional name

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
I20050317000202 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173578630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oficina Medica Dr Quintero PSCGroup PAC ID 4385699164, 2 clinicians

Practice addresses (Care Compare)

410 Ave Hostos
Mayaguez, PR 00682-1560
Phone (787) 844-6669

917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-6669

Santa Maria Medical BLDG
450 Ave Ferrocarril Suite 302
Ponce, PR 00717-1105
Phone (787) 844-6669

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Lab Services PSC Past Accepting new patients
Colonial Medical Management, Corp. PastSince May 9, 2011 Accepting new patients
Asociacion Cardiovascular del Sur de Puerto Rico, Inc. Cardiovascular Disease PastSince Dec 18, 2016 Accepting new patients
Centro Especializado En Salud SSVP, Inc Cardiovascular Disease Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1194723262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CALLE RUISENOR",
            "address_2": "CAMINOS DEL SUR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162829",
            "telephone_number": "787-844-6669",
            "fax_number": "787-844-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CALLE FERROCARRIL",
            "address_2": "SUITE 302 SANTA MARIA MEDICAL BUILDING",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171194",
            "telephone_number": "787-844-6669",
            "fax_number": "787-844-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO SERRANO",
        "first_name": "OSCAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194723262",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSCAR",
            "last_name": "QUINTERO SERRANO",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.