Individual provider Active NPI

Eric Quintero, M.D.

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1659309185
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11739 Issued in PR
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2744-1OtherPRPROSAM
7770009OtherPRHUMANA DE PR
060114OtherPRCRUZ AZUL DE PR
3111739OtherPRUIA
5130OtherPRFIRST MEDICAL
88551OtherPRSSS

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

LicenseStateTypeSpecialty
11739PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.