Individual provider Active NPI

Emeterio A Quinones, MD

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1306029210
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16985 Issued in PR
Practice address
1003 Ave Emerito Estrada Rivera
Suite 6 Altos
San Sebastian, PR 00685-3014
Phone
(787) 280-6027
Fax
(787) 280-6027
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16985 PR Primary

Addresses

Primary practice location

1003 Ave Emerito Estrada Rivera
Suite 6 Altos
San Sebastian, PR 00685-3014

Mailing address

1003 Ave Emerito Estrada Rivera
Suite #6 Altos
San Sebastian, PR 00685-3014
Phone (787) 280-6027

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
I20080513000703 PR Practitioner - General Practice 8628147998 Practice locations: San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1003 Ave Emerito Estrada Rivera
San Sebastian, PR 00685

Ave Emerito Estrada Rivera
1003 Suite 6 Altos
San Sebastian, PR 00685
Phone (787) 280-6027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16985PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1306029210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 AVE EMERITO ESTRADA RIVERA",
            "address_2": "SUITE #6 ALTOS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853014",
            "telephone_number": "787-280-6027",
            "fax_number": "787-280-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 AVE EMERITO ESTRADA RIVERA",
            "address_2": "SUITE 6 ALTOS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853014",
            "telephone_number": "787-280-6027",
            "fax_number": "787-280-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "EMETERIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.