Individual provider Active NPI

Wanda Casiano Quiles, MD

  • Specialist
  • San German, PR
National Provider Identifier
1740356468
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11839 Issued in PR
Practice address
Calle Hernan Alvarez # 206
Plaza Metropolitana
San German, PR 00683
Phone
(787) 264-3289
Fax
(787) 892-2540
NPI assigned
Nov 27, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11839 PR Primary

Addresses

Primary practice location

Calle Hernan Alvarez # 206
Plaza Metropolitana
San German, PR 00683

Mailing address

PO Box 5075
PMB 205
San German, PR 00683
Phone (787) 264-3289

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
I20050427001264 PR Practitioner - Hematology/Oncology 5890734941 Reassigns benefits to 1 organization
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Hernan Alvarez Plaza
Suite 106 206
San German, PR 00683-4173
Phone (787) 892-2540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11839PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Hematology Oncology Group P.S.C Specialist CurrentSince Jun 13, 2017 Accepting new patients

Locations

100 Calle Hernan Alvarez
Ste 206
San German, PR 00683
Phone (787) 892-2540

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1740356468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5075",
            "address_2": "PMB 205",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-3289",
            "fax_number": "787-892-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNAN ALVAREZ # 206",
            "address_2": "PLAZA METROPOLITANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-3289",
            "fax_number": "787-892-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIANO QUILES",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.