Individual provider Active NPI

Angel Luis Rodriguez Quinones Sr., M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1750320008
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6853 Issued in PR
Practice address
33 Calle Mayaguez
Urb. Perez Morris
San Juan, PR 00917-4917
Phone
(787) 764-6077
Fax
(787) 758-0349
NPI assigned
Jun 5, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6853 PR Primary

Addresses

Primary practice location

33 Calle Mayaguez
Urb. Perez Morris
San Juan, PR 00917-4917

Mailing address

PO Box 192102
San Juan, PR 00919-2102
Phone (787) 764-6077

Other identifiers 1

IdentifierTypeStateIssuer
0028405OtherPRMEDICARE ID

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
I20101201000990 PR Practitioner - Internal Medicine 6305032400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Calle Mayaguez
San Juan, PR 00917-4917
Phone (787) 764-6077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6853PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Angel Rodriguez Quinones PSC CurrentSince Oct 23, 2011 Accepting new patients

Locations

33 Calle Mayaguez
San Juan, PR 00917
Phone (757) 764-6077

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1750320008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192102",
            "telephone_number": "787-764-6077",
            "fax_number": "787-758-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MAYAGUEZ",
            "address_2": "URB. PEREZ MORRIS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174917",
            "telephone_number": "787-764-6077",
            "fax_number": "787-758-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ QUINONES",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0028405",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.