Individual provider Active NPI

Rodney Ramos Quintana, MD

  • General Practice Physician
  • Puerto Nueno, PR
National Provider Identifier
1679593032
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14286 Issued in PR
Practice address
1236 Cadiz St
Puerto Nueno, PR 00920
Phone
(787) 942-9718
NPI assigned
Jul 20, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 14286 PR Primary

Addresses

Primary practice location

1236 Cadiz St
Puerto Nueno, PR 00920

Mailing address

130 Ave Winston Churchill
PMB# 286
San Juan, PR 00926-6065
Phone (787) 579-6399

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
I20120221000914 PR Practitioner - General Practice 3274791314 Practice locations: Trujillo Alto, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 Calle
Suite 10
Trujillo Alto, PR 00976-7804
Phone (787) 579-6399

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The San Jorge Hospital Inc Past Accepting new patients
Asociacion Hospital del Maestro Inc Past Accepting new patients
San Jorge Children's Hospital, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1679593032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "PMB# 286",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266065",
            "telephone_number": "787-579-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CADIZ ST",
            "city": "PUERTO NUENO",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-942-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS QUINTANA",
        "first_name": "RODNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.