Active NPI
Janisse Rosario Quinones, MD
- General Practice Physician
- Ponce, PR
National Provider Identifier
1376269050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23536
- Practice address
- 917 Ave Tito Castro
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- NPI assigned
- Oct 14, 2022
- Last updated
- Jan 25, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 23536 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Ponce, PR 00716-4717
Mailing address
434 Comunidad Caracoles 2
Penuelas, PR 00624
Phone (939) 339-3951
Other practice location 1
434 Comunidad Caracoles 2
Penuelas, PR 00624
Phone (939) 339-3951
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
434 Comunidad Carracoles
Suite 2
Penuelas, PR 00624-0000
PO Box
Coto Laurel, PR 00780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23536 | PR | MD | General Practice Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1376269050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 COMUNIDAD CARACOLES 2",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "939-339-3951"
},
{
"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"
}
],
"practiceLocations": [
{
"address_1": "434 Comunidad Caracoles 2",
"address_purpose": "LOCATION",
"city": "Penuelas",
"state": "PR",
"postal_code": "00624",
"country_code": "US",
"telephone_number": "939-339-3951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSARIO QUINONES",
"first_name": "JANISSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.