Carmen Cruz Quintero, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382548 Issued in NY

Practice address

5917 Junction Blvd
Elmhurst, NY 11373-5188

Phone

(718) 404-9109

Fax

(718) 334-6277

NPI assigned

Apr 3, 2014

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1710305909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 67TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745213",
            "telephone_number": "646-261-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735188",
            "telephone_number": "718-404-9109",
            "fax_number": "718-334-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ QUINTERO",
        "first_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382548",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "461073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arminda Berongoy Crisostomo
• Kristine Crisostomo
• Crown Pharma Inc
• Crown Pharma Inc
• Crown Pharmacy Inc (Crown Pharmacy)
• Mayte Cruz Zermeno, MD
• Jomarie Cruz
• Katherine Macier Cruz
• Liliana Manuela Cruz, MD
• Monserrate Cruz, R.N.

• Pediatric Nurse Practitioner in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.