Individual provider Active NPI

Rosalie Quinones, D.D.S

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1689648834
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2399 Issued in PR
Practice address
201 Ave Arterial Hostos
Suite 205 Galeria 1 Nuevo Centro
San Juan, PR 00918-1404
Phone
(787) 281-7237
Fax
(787) 772-9769
NPI assigned
Feb 15, 2006
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014157 FL
General Practice Dentistry 1223G0001X 2399 PR Primary

Addresses

Primary practice location

201 Ave Arterial Hostos
Suite 205 Galeria 1 Nuevo Centro
San Juan, PR 00918-1404

Mailing address

201 Ave Arterial Hostos
Suite 205 Galeria 1 Nuevo Centro
San Juan, PR 00918-1404
Phone (787) 281-7237

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303001477 PR Order and Referring Only - DentistPractitioner - Dentist 8628484482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014157FLMDGeneral Practice Dentistry
2399PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1689648834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 205 GALERIA 1 NUEVO CENTRO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181404",
            "telephone_number": "787-281-7237",
            "fax_number": "787-772-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 205 GALERIA 1 NUEVO CENTRO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181404",
            "telephone_number": "787-281-7237",
            "fax_number": "787-772-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "ROSALIE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "014157",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.