NPIMap

Individual provider Active NPI

Carlos F. Quinones Bodega, MD

  • Physical Medicine & Rehabilitation Physician
  • Cabo Rojo, PR
National Provider Identifier
1568498657
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
14734 Issued in PR
Practice address
Carr 100 KM 6.1 Int.
Bo Miradero
Cabo Rojo, PR 00623
Phone
(787) 969-1969
Fax
(787) 851-2552
NPI assigned
Jun 23, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 14734 PR Primary

Addresses

Primary practice location

Carr 100 KM 6.1 Int.
Bo Miradero
Cabo Rojo, PR 00623

Mailing address

PO Box 746
Cabo Rojo, PR 00623-0746
Phone (787) 969-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031108000015 PR Practitioner - Physical Medicine and Rehabilitation 2365355013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Fisiatrico del Caribe PSCGroup PAC ID 5496990707, 2 clinicians

Practice addresses (Care Compare)

38 Calle San Jose
Cabo Rojo, PR 00623-4515
Phone (939) 357-1838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14734PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Fisiatrico del Caribe PSC Physical Medicine & Rehabilitation CurrentSince Nov 17, 2012 Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.quinonesbodega@3471.securemail.prognocis.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital de la Concepcion IncSan German, PR, CCN 405032 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Dec 5, 2023
Jan 17, 2025
Jan 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1568498657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230746",
            "telephone_number": "787-969-1969",
            "fax_number": "787-851-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 100 KM 6.1 INT.",
            "address_2": "BO MIRADERO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-969-1969",
            "fax_number": "787-851-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES BODEGA",
        "first_name": "CARLOS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "14734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.