Individual provider Active NPI

Maria Del Carmen Quintana

  • Registered Dietitian
  • Mayaguez, PR
National Provider Identifier
1447716634
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1328 Issued in PR
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

Updated by the provider on Sep 12, 2023

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1328PRMDPsychologist

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.

Verify at the official NPI Registry.