Active NPI
Carolina Quintana-Ocasio, MD
- General Practice Physician
- Ponce, PR
National Provider Identifier
1245918044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23950
- Practice address
- 917 Ave Tito Castro
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- Fax
- (787) 843-3031
- NPI assigned
- Jul 11, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36305 | PR | |
| General Practice Physician | 208D00000X | 23950 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Ponce, PR 00716-4717
Mailing address
PO Box 289
San German, PR 00683-0289
Phone (787) 892-3226
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gmesanlucas@ssepr.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36305 | PR | MD | Internal Medicine Physician |
| 23950 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1245918044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 289",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830289",
"telephone_number": "787-892-3226",
"fax_number": "787-892-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-2080",
"fax_number": "787-843-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA-OCASIO",
"first_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "36305",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23950",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gmesanlucas@ssepr.org",
"affiliation": "N",
"endpointDescription": "Graduated Medical Education Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "917 Ave Tito Castro",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "007164717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.