Individual provider Active NPI

Mairim Enid Quiles Torres, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1548201114
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15699 Issued in PR
Practice address
40 Calle P Mora Acosta
Arecibo, PR 00612-3615
Phone
(787) 878-4485
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 15699 PR Primary

Addresses

Primary practice location

40 Calle P Mora Acosta
Arecibo, PR 00612-3615

Mailing address

PO Box 3004
Arecibo, PR 00613-3004
Phone (787) 557-4090

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
I20070123000493 PR Practitioner - General Practice 0042211716 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Calle P Mora Acosta
Arecibo, PR 00612-3668
Phone (787) 878-4485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15699PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Terapia Fisica Elmar Inc. PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1548201114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133004",
            "telephone_number": "787-557-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE P MORA ACOSTA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123615",
            "telephone_number": "787-878-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES TORRES",
        "first_name": "MAIRIM",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.