Active NPI
Josue Quintero
- Land Ambulance
- San Juan, PR
National Provider Identifier
1205969615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC-AMB-717
- Practice address
- Carretera 65 KL 3 Shoping Tunel Carcare
San Juan, PR 00926 - Phone
- (939) 891-9911
- Fax
- (787) 777-1577
- NPI assigned
- Mar 14, 2007
- Reactivated
- Oct 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Water Ambulance | 3416S0300X | |||
| Land Ambulance | 3416L0300X | TC-AMB-717 | PR | Primary |
Addresses
Primary practice location
Carretera 65 KL 3 Shoping Tunel Carcare
San Juan, PR 00926
Mailing address
P.O. Box
1880
Bayamon, PR 00953
Phone (787) 730-8666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC-AMB-717 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nine One One Private Response | Land Transport | Current | Accepting new patients |
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": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1205969615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX",
"address_2": "1880",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-730-8666",
"fax_number": "787-777-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 65 KL 3 SHOPING TUNEL CARCARE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-891-9911",
"fax_number": "787-777-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "JOSUE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2022-05-25",
"certification_date": "2022-05-10",
"deactivation_date": "2007-07-17",
"reactivation_date": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "3416S0300X",
"taxonomy_group": "",
"desc": "Ambulance, Water Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC-AMB-717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.