Active NPI
Wilmar De Jesus Quinones, PHL
- Pediatric Pathology Physician
- Toa Alta, PR
National Provider Identifier
1487213260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 620
- 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
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 |
|---|---|---|---|---|
| Pediatric Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2587501 | Other | PR | TRIPLE 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.