Individual provider Active NPI

Jessica Marie Quinones-de Echegaray, M.D.

  • Emergency Medicine Physician
  • Carolina, PR
National Provider Identifier
1407089691
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12483 I Issued in PR
Practice address
University District Hospital - Carolina
Carr. 3 KM. 8.3 Ave. 65TH Infanteria
Carolina, PR 00984-6125
Phone
(787) 750-0930
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12483 I PR Primary

Addresses

Primary practice location

University District Hospital - Carolina
Carr. 3 KM. 8.3 Ave. 65TH Infanteria
Carolina, PR 00984-6125

Mailing address

Kendall Regional Medical Center
11750 SW 40TH St
Miami, FL 33175
Phone (305) 227-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120727000681 FL Practitioner - Emergency Medicine 8729244223 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12483 IPRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

10915 NW 41st St
Doral, FL 33178
Phone (305) 227-5548

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1407089691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KENDALL REGIONAL MEDICAL CENTER",
            "address_2": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-227-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DISTRICT HOSPITAL - CAROLINA",
            "address_2": "CARR. 3 KM. 8.3 AVE. 65TH INFANTERIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846125",
            "telephone_number": "787-750-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES-DE ECHEGARAY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2021-05-08",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "12483 I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.