Individual provider Active NPI

Jose Elias Quintero-Noriega, M.D.

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1225047756
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8766 Issued in PR
Practice address
E29 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622
Phone
(787) 854-0740
Fax
(787) 854-8143
NPI assigned
Aug 5, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8766 PR Primary

Addresses

Primary practice location

E29 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622

Mailing address

PO Box 1934
Manati, PR 00674-1934
Phone (787) 854-0740

Other identifiers 2

IdentifierTypeStateIssuer
100005OtherMMM HEALTHCARE
80416OtherPRTRIPLE S HEALTH PLAN

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
I20120710000158 PR Practitioner - Family Practice 9830354281 Practice locations: Manatie, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hernandez Carrion E-29 Urb Atenas
Manatie, PR 00674
Phone (787) 854-0740

PO Box
Manati, PR 00674

Hospital & facility affiliations

National Provider Directory

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

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1225047756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1934",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741934",
            "telephone_number": "787-854-0740",
            "fax_number": "787-854-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E29 CALLE HERNANDEZ CARRION",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-854-0740",
            "fax_number": "787-854-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO-NORIEGA",
        "first_name": "JOSE",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE",
            "identifier": "100005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S HEALTH PLAN",
            "identifier": "80416",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.