Active NPI
Quintin Gonzalez Keelan, M.D.
- Anesthesiology Physician
- Ponce, PR
National Provider Identifier
1720155708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 010331
- Practice address
- 2225 Ponce by Pass
Edificio Parra Suite 404
Ponce, PR 00731 - Phone
- (787) 290-0135
- Fax
- (787) 284-5398
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 010331 | PR | Primary |
Addresses
Primary practice location
2225 Ponce by Pass
Edificio Parra Suite 404
Ponce, PR 00731
Mailing address
2225 Ponce by Pass
Edificio Parra Suite 404
Ponce, PR 00731
Phone (787) 290-0135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010331 | PR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Damas Inc | Current | Accepting new patients | |
| Southern Anesthesia Associates LLC | Current | Accepting new patients |
Locations
2225 Ponce Byp
Ste 404
Ponce, PR 00717
Phone (787) 284-5398
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1730159286
-
- Specialist
- Ponce, PR
- NPI 1336120153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720155708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "EDIFICIO PARRA SUITE 404",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-290-0135",
"fax_number": "787-284-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "EDIFICIO PARRA SUITE 404",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-290-0135",
"fax_number": "787-284-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ KEELAN",
"first_name": "QUINTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "010331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Guillermo Jose Gonzalez Figueroa
- Carolina Isabelle Gonzalez Frontera
- Carille Gonzalez Gomez, THL
- Samuel Ignacio Gonzalez Guzman
- Brenda Leonellis Gonzalez Herrera
- Lesliann Milagros Gonzalez Laracuente
- Laura Elena Gonzalez Lopez
- Nixalys Gonzalez Martinez, PSY.D
- Ricci Naillil Gonzalez Medina, BS, DC
- Radames Gonzalez Olivieri Sr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.