Individual provider Active NPI

Grace Palmer Quinones, MD

  • Psychiatry Physician
  • Fajardo, PR
National Provider Identifier
1669416392
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10823 Issued in PR
Practice address
#55 Calle del Carmen
Fajardo, PR 00738
Phone
(787) 860-3558
Fax
(787) 860-3330
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10823 PR Primary

Addresses

Primary practice location

#55 Calle del Carmen
Fajardo, PR 00738

Mailing address

Falcon #56 Montehiedra
San Juan, PR 00926
Phone (787) 860-3558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000540 PR Practitioner - Psychiatry 0547268351 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10823PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Mental Care Corp CurrentSince Jun 16, 2006 Accepting new patients
Continuum Mental Care Corp PastSince Jun 16, 2006 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients

Locations

55 Calle del Carmen W
Fajardo, PR 00738
Phone (787) 860-3558

Organizations & group practices 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1669416392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FALCON #56 MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#55 CALLE DEL CARMEN",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER QUINONES",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.