Active NPI
Eric Quintero, M.D.
- General Practice Physician
- Trujillo Alto, PR
National Provider Identifier
1659309185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11739
- Practice address
- A4 Calle Aniceto Diaz
Golden Hill
Trujillo Alto, PR 00976-2620 - Phone
- (787) 755-2222
- Fax
- (787) 755-2222
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11739 | PR | Primary |
Addresses
Primary practice location
A4 Calle Aniceto Diaz
Golden Hill
Trujillo Alto, PR 00976-2620
Mailing address
Ra12 Via del Rio
Rio Cristal
Trujillo Alto, PR 00976-6021
Phone (787) 755-2222
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2744-1 | Other | PR | PROSAM |
| 7770009 | Other | PR | HUMANA DE PR |
| 060114 | Other | PR | CRUZ AZUL DE PR |
| 3111739 | Other | PR | UIA |
| 5130 | Other | PR | FIRST MEDICAL |
| 88551 | Other | PR | SSS |
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 |
|---|---|---|---|
| 11739 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ges de San Juan, Inc. | 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.
-
- Preferred Provider Organization
- San Juan, PR
- NPI 1669508156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659309185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RA12 VIA DEL RIO",
"address_2": "RIO CRISTAL",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766021",
"telephone_number": "787-755-2222",
"fax_number": "787-755-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A4 CALLE ANICETO DIAZ",
"address_2": "GOLDEN HILL",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762620",
"telephone_number": "787-755-2222",
"fax_number": "787-755-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSAM",
"identifier": "2744-1",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA DE PR",
"identifier": "7770009",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "060114",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "3111739",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "5130",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "88551",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.