Individual provider Active NPI

Antonio Jose Rodriguez Quinones

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1508477696
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24490 Issued in PR
Practice address
Paseo Dr. Jose Celso Barbosa
Centro Medico de Puerto Rico
San Juan, PR 00936
Phone
(939) 629-7653
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24490 PR Primary

Addresses

Primary practice location

Paseo Dr. Jose Celso Barbosa
Centro Medico de Puerto Rico
San Juan, PR 00936

Mailing address

183 Calle Santa Fe
Guayanilla, PR 00656-1470
Phone (939) 629-7653

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24490PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1508477696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CALLE SANTA FE",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561470",
            "telephone_number": "939-629-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO DR. JOSE CELSO BARBOSA",
            "address_2": "CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "939-629-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ QUINONES",
        "first_name": "ANTONIO",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "24490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.