Individual provider Active NPI

Maria del Rocio Quinones-Gonzalez, DMD

  • General Practice Dentistry
  • Trujillo Alto, PR
National Provider Identifier
1720781701
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5044912 Issued in PR
Practice address
St 5 F6 Montebello Estates
Trujillo Alto, PR 00976
Phone
(787) 306-9183
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5044912 PR Primary

Addresses

Primary practice location

St 5 F6 Montebello Estates
Trujillo Alto, PR 00976

Mailing address

St 5 F6 Montebello Estates
Trujillo Alto, PR 00976
Phone (787) 306-9183

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904002165 PR Practitioner - Dentist 7911447040 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3515PRMDClinical Psychologist
5044912PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Sep 1, 2024 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Salud Integral En la Montana, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1720781701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST 5 F6 MONTEBELLO ESTATES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-306-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST 5 F6 MONTEBELLO ESTATES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-306-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES-GONZALEZ",
        "first_name": "MARIA DEL ROCIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "5044912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.