Individual provider Active NPI

Xavier Hiram Quinones de Jesus, M.D.

  • Ophthalmology Physician
  • Yauco, PR
National Provider Identifier
1427475748
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19475 Issued in PR
Practice address
550 Carr 128 Ste 106
Yauco, PR 00698-4435
Phone
(787) 267-7829
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19475 PR Primary

Addresses

Primary practice location

550 Carr 128 Ste 106
Yauco, PR 00698-4435

Mailing address

8024 Calle Concordia Ste 200
Santa Maria
Ponce, PR 00717
Phone (787) 842-2040

Other practice location 1

8024 Calle Concordia Ste 200
Santa Maria
Ponce, PR 00717-0071
Phone (787) 842-2040

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
I20201026000196 PR Practitioner - Ophthalmology 6709206006 Practice locations: Ponce, PR; Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Carr
Suite 128
Yauco, PR 00698-4434
Phone (787) 267-7829

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19475PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare 20/20 Ophthalmology CurrentSince Sep 27, 2020 Accepting new patients
Perez Eye and Retina LLC Ophthalmology Past Accepting new patients

Locations

8024 Calle Concordia
Ste 200
Ponce, PR 00717
Phone (787) 842-2040

550 Carr 128
Ste 106
Yauco, PR 00698
Phone (787) 267-7829

77 Calle Comercio
Yauco, PR 00698
Phone (787) 267-7829

Organizations & group practices 2

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1427475748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 CALLE CONCORDIA STE 200",
            "address_2": "SANTA MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-842-2040",
            "fax_number": "787-842-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CARR 128 STE 106",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984435",
            "telephone_number": "787-267-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8024 Calle Concordia Ste 200",
            "address_2": "Santa Maria",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007170071",
            "country_code": "US",
            "telephone_number": "787-842-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES DE JESUS",
        "first_name": "XAVIER",
        "middle_name": "HIRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "19475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.