Individual provider Active NPI

Quintin Gonzalez Keelan, M.D.

  • Anesthesiology Physician
  • Ponce, PR
National Provider Identifier
1720155708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
010331 Issued in PR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010331PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc Current Accepting new patients
Southern Anesthesia Associates LLC CurrentSince Mar 20, 2011 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.

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

Sources for this page

Verify at the official NPI Registry.