Individual provider Active NPI

Lester Quinonez, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1417934217
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14385 Issued in PR
Practice address
Metro Parvia Clinic Carolina- Emergency Room
KM 13.3 Carr #3
Carolina, PR 00729
Phone
(561) 967-2334
Fax
(561) 967-8256
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14385 PR Primary
Internal Medicine Physician 207R00000X ACN608 FL

Addresses

Primary practice location

Metro Parvia Clinic Carolina- Emergency Room
KM 13.3 Carr #3
Carolina, PR 00729

Mailing address

PO Box 319
Loiza, PR 00772-0319
Phone (787) 363-1473

Other identifiers 1

IdentifierTypeStateIssuer
J2YZYOtherFLBCBS

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
I20041103000556 PR Practitioner - General Practice 4486616265 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN608FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Center CurrentSince Sep 23, 2019 Accepting new patients
Metro Pavia Healthcare Center General Practice CurrentSince Sep 23, 2019 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Medical Pharmacy and Lab Past Accepting new patients

Organizations & group practices 4

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1417934217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720319",
            "telephone_number": "787-363-1473",
            "fax_number": "954-318-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO PARVIA CLINIC CAROLINA- EMERGENCY ROOM",
            "address_2": "KM 13.3 CARR #3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "561-967-2334",
            "fax_number": "561-967-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14385",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J2YZY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.