Individual provider Active NPI

Katherine Quinones Ricourt, M.D.

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1720728124
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15942-I Issued in PR
Practice address
168 Calle Marina
Aguada, PR 00602-3213
Phone
(939) 219-5363
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15942-I PR Primary

Addresses

Primary practice location

168 Calle Marina
Aguada, PR 00602-3213

Mailing address

PO Box 2056
Aguada, PR 00602-2056
Phone (939) 219-5363

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
I20221223001269 PR Practitioner - General Practice 1951771518 Practice locations: Aguada, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15942-IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Q Primary Care LLC General Practice CurrentSince Oct 22, 2023 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients

Locations

168 Calle Marina
Aguada, PR 00602
Phone (787) 868-8090

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1720728124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2056",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022056",
            "telephone_number": "939-219-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023213",
            "telephone_number": "939-219-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES RICOURT",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15942-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.