Individual provider Active NPI

Wilmar De Jesus Quinones, PHL

  • Pediatric Pathology Physician
  • Toa Alta, PR
National Provider Identifier
1487213260
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pathology PhysicianTaxonomy code 207ZP0213X
License
620 Issued in PR
Practice address
500 Ave Norfe Apto3404
Vistas de Montecasino
Toa Alta, PR 00953-3582
Phone
(787) 234-2767
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0213X 620 PR Primary

Addresses

Primary practice location

500 Ave Norfe Apto3404
Vistas de Montecasino
Toa Alta, PR 00953-3582

Mailing address

500 Ave Norfe Apto3404
Vistas de Montecasino
Toa Alta, PR 00953
Phone (787) 234-2767

Other identifiers 1

IdentifierTypeStateIssuer
2587501OtherPRTRIPLE SSS, HUMANA, MCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1487213260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE NORFE APTO3404",
            "address_2": "VISTAS DE MONTECASINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-234-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE NORFE APTO3404",
            "address_2": "VISTAS DE MONTECASINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533582",
            "telephone_number": "787-234-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS QUINONES",
        "first_name": "WILMAR",
        "name_prefix": "Miss",
        "credential": "PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Pediatric Pathology",
            "state": "PR",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS, HUMANA, MCS",
            "identifier": "2587501",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.