Individual provider Active NPI

Josefina M Quinones, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1750427118
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2285 Issued in PR
Practice address
Ave Ana G Mendez
Centro Comercial El Paraiso L15
San Juan, PR 00976
Phone
(787) 763-5468
Fax
(787) 763-5468
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 2285 PR Primary

Addresses

Primary practice location

Ave Ana G Mendez
Centro Comercial El Paraiso L15
San Juan, PR 00976

Mailing address

175 Plaza Tintillo
Parque del Rio
Trujillo Alto, PR 00976-6074
Phone (787) 763-5468

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
I20150812006726 PR Order and Referring Only - DentistPractitioner - Dentist 3476868027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2285PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Dental Dra. Josefina M Quinones CSP General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1750427118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PLAZA TINTILLO",
            "address_2": "PARQUE DEL RIO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766074",
            "telephone_number": "787-763-5468",
            "fax_number": "787-763-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ANA G MENDEZ",
            "address_2": "CENTRO COMERCIAL EL PARAISO L15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-763-5468",
            "fax_number": "787-763-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JOSEFINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.