Active NPI
Joseph Quintana, MD
- Family Medicine Physician
- San Luis, CO
National Provider Identifier
1265503676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28705
- Practice address
- 233 Main Street
San Luis, CO 81152-2340 - Phone
- (719) 672-3352
- Fax
- (719) 672-3638
- NPI assigned
- Nov 10, 2006
- Last updated
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28705 | CO | Primary |
Addresses
Primary practice location
233 Main Street
San Luis, CO 81152-2340
Mailing address
128 Market St
Alamosa, CO 81101-2290
Phone (719) 589-5161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01287051 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28705 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1265503676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MARKET ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012290",
"telephone_number": "719-589-5161",
"fax_number": "719-589-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MAIN STREET",
"city": "SAN LUIS",
"state": "CO",
"postal_code": "811522340",
"telephone_number": "719-672-3352",
"fax_number": "719-672-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "28705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01287051",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis, CO
- Vivian B Gallegos, R.N.
- Anatniuq Gonzales, RN
- Emelin Martinez, FNP
- Maryanne Martinez, R.N.
- Carrie Ann Mondragon, RN
- Steven R Romero
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center, Inc. (San Luis Valley Behavioral Health Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.