Individual provider Active NPI

Angel M Quinones Rodriguez, M. D.

  • Surgery Physician
  • Guayama, PR
National Provider Identifier
1720163397
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14621 Issued in PR
Practice address
3 Ave Los Veteranos
Guayama, PR 00784-6333
Phone
(787) 864-7093
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14621 PR Primary

Addresses

Primary practice location

3 Ave Los Veteranos
Guayama, PR 00784-6333

Mailing address

PO Box 2714
Guayama, PR 00785-2714
Phone (787) 864-7093

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
I20040525000442 PR Practitioner - General Surgery 4688655954 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

La Fuente Town Ctr
Ofic 11127
Guayama, PR 00784

Hospital & facility affiliations

  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048
  • Hospital Menonita de Aibonito Hospital, Aibonito, PR, CCN 400018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)18
Mastectomy34
Upper gastrointestinal (GI) endoscopy for acid reflux21
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14621PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Guayama Inc Past Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients

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.

Hospital & facility affiliations 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1720163397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2714",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852714",
            "telephone_number": "787-864-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AVE LOS VETERANOS",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846333",
            "telephone_number": "787-864-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "14621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.