Active NPI
Maria Del Carmen Quintana
- Registered Dietitian
- Mayaguez, PR
National Provider Identifier
1447716634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1328
- Practice address
- 27 Calle Peral N # 1
Mayaguez, PR 00680-4820 - Phone
- (787) 409-3423
- NPI assigned
- Feb 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1328 | PR | Primary |
Addresses
Primary practice location
27 Calle Peral N # 1
Mayaguez, PR 00680-4820
Mailing address
2023 Carr 177
Cond la Coruna Apt 502
Guaynabo, PR 00969-5162
Phone (787) 409-3423
Other practice location 1
1112 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 409-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200421000308 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 5496185175 | Practice locations: Mayaguez, PR; San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1112 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 409-3423
27 Calle Peral N
Mayaguez, PR 00680-4820
Phone (787) 409-3423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1447716634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 CARR 177",
"address_2": "COND LA CORUNA APT 502",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695162",
"telephone_number": "787-409-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CALLE PERAL N # 1",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804820",
"telephone_number": "787-409-3423"
}
],
"practiceLocations": [
{
"address_1": "1112 Ave Jesus T Pinero",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009211722",
"country_code": "US",
"telephone_number": "787-409-3423",
"fax_number": "787-781-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANA",
"first_name": "MARIA",
"middle_name": "DEL CARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.