Active NPI
Erick Quintana Aviles, MD
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1639678683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 285994
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (787) 407-6591
- NPI assigned
- Feb 6, 2018
- Reactivated
- May 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 285994 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
P.O. Box 86
Moca, PR 00676
Other practice location 1
1156 Calle 62 SE
San Juan, PR 00921
Phone (787) 758-2525 ext. 2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285994 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1639678683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 86",
"city": "MOCA",
"state": "PR",
"postal_code": "00676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "787-407-6591"
}
],
"practiceLocations": [
{
"address_1": "1156 Calle 62 SE",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00921",
"country_code": "US",
"telephone_number": "787-758-2525 x2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANA AVILES",
"first_name": "ERICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-06",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"deactivation_date": "2020-09-15",
"reactivation_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "285994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.