Individual provider Active NPI

Edwin Antonio Quintana Filippetti, RD

  • Registered Dietitian
  • Coto Laurel, PR
National Provider Identifier
1427883545
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2260 Issued in PR
Practice address
Torre Medica San Cristobal
3007 Ave San Cristobal Ste 314
Coto Laurel, PR 00780-2280
Phone
(787) 432-3195
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2260 PR Primary

Addresses

Primary practice location

Torre Medica San Cristobal
3007 Ave San Cristobal Ste 314
Coto Laurel, PR 00780-2280

Mailing address

PO Box 8428
Ponce, PR 00732-8428
Phone (787) 432-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202001705 PR Practitioner - Registered Dietitian Or Nutrition Professional 9830624709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quintana Nutritional Services LLC Dietitian, Registered CurrentSince Oct 5, 2024 Accepting new patients

Locations

3007 Ave San Cristobal
Ste 314
Coto Laurel, PR 00780
Phone (787) 432-3195

Interoperability endpoints

  • Direct secure messaging: edwin.quintanafilippetti.p1@direct.vitacare.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1427883545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8428",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328428",
            "telephone_number": "787-432-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN CRISTOBAL",
            "address_2": "3007 AVE SAN CRISTOBAL STE 314",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802280",
            "telephone_number": "787-432-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA FILIPPETTI",
        "first_name": "EDWIN",
        "middle_name": "ANTONIO",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.