Individual provider Active NPI

Carlos Javier Quiles Torres, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1558801795
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19585 Issued in PR
Practice address
156 Calle Martinete
Montehiedra Urb
San Juan, PR 00926-7102
Phone
(787) 547-6603
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 19585 PR
General Practice Physician 208D00000X 19585 PR Primary
Hospitalist Physician 208M00000X 19585 PR

Addresses

Primary practice location

156 Calle Martinete
Montehiedra Urb
San Juan, PR 00926-7102

Mailing address

156 Calle Martinete
Montehiedra Urb
San Juan, PR 00926-7102
Phone (787) 547-6603

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
I20220512000127 PR Practitioner - General Practice 1557748613 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19585PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince Feb 9, 2022 Accepting new patients
Varmed Health Center LLC CurrentSince Oct 4, 2024 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Feb 9, 2022 Accepting new patients
Varmed Health Center LLC CurrentSince Oct 4, 2024 Accepting new patients
Varmed Health Center LLC Current Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1558801795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CALLE MARTINETE",
            "address_2": "MONTEHIEDRA URB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267102",
            "telephone_number": "787-547-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CALLE MARTINETE",
            "address_2": "MONTEHIEDRA URB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267102",
            "telephone_number": "787-547-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES TORRES",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "19585",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19585",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "19585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.