Active NPI
Robert Ouintana, SLP
- Speech-Language Pathologist
- Santa Cruz, NM
National Provider Identifier
1649320623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2643
- Practice address
- 6A Entrada del Jardin
Santa Cruz, NM 87567 - Phone
- (505) 929-4648
- Fax
- (505) 424-8488
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2643 | NM | Primary |
Addresses
Primary practice location
6A Entrada del Jardin
Santa Cruz, NM 87567
Mailing address
PO Box 460
Santa Cruz, NM 87567-0460
Phone (505) 982-8561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10028404 | Medicaid | NM | |
| A1098 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2643 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGhee Therapy Inc. | Speech-Language Pathologist | Past | 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": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1649320623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875670460",
"telephone_number": "505-982-8561",
"fax_number": "505-989-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6A ENTRADA DEL JARDIN",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "87567",
"telephone_number": "505-929-4648",
"fax_number": "505-424-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUINTANA",
"first_name": "ROBERT",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2024-11-26",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "2643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10028404",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A1098",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.