Lizlette Quintanilla, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86049766 Issued in TX

Practice address

2821 Michaelangelo Dr Ste 102B
Edinburg, TX 78539-1411

Phone

(956) 362-5650

Fax

(956) 362-2599

NPI assigned

May 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1548648488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2646",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022646",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 102B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391411",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Michaelangelo Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391417",
            "country_code": "US",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "LIZLETTE",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86049766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352435701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quetzal Rehablitation Group, LLC
• Emily Quick Bear, MD
• Quick Penny Investments, LLC (Jackson Park Pharmacy)
• Maria C Quilantan Diaz, LPC
• Christina J Quilantan, LPC
• Yvonne Quintanilla, LPC
• Maria I Quintero, M.S., CCC/SLP
• Vanessa Diann Quintero
• Elizabeth Quiroga, FNP-C
• Robert Quiroga

• Registered Dietitian in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.