Individual provider Active NPI

Jessica Carrasquillo Quinones, MD

  • General Practice Physician
  • Juncos, PR
National Provider Identifier
1457958191
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22035 Issued in PR
Practice address
49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone
(787) 433-4447
NPI assigned
Oct 6, 2020
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22035 PR Primary

Addresses

Primary practice location

49 Calle Munoz Rivera
Juncos, PR 00777-3112

Mailing address

21 Calle Granito
San German, PR 00683-8509
Phone (939) 243-7347

Other practice location 1

100 Turpeaux Ind Park Unit 588
Mercedita, PR 00715-1636
Phone (939) 243-7347

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
I20201207000582 PR Practitioner - General Practice 0244642734 Practice locations: Juncos, PR

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jessica.carrasquillo.quinones.1@29290.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1457958191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CALLE GRANITO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006838509",
            "telephone_number": "939-243-7347",
            "fax_number": "401-340-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE MUNOZ RIVERA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773112",
            "telephone_number": "787-433-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Turpeaux Ind Park Unit 588",
            "address_purpose": "LOCATION",
            "city": "Mercedita",
            "state": "PR",
            "postal_code": "007151636",
            "country_code": "US",
            "telephone_number": "939-243-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASQUILLO QUINONES",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.