Individual provider Active NPI

Ian Andres De Jesus Quinones

  • Massage Therapist
  • Caguas, PR
National Provider Identifier
1760057798
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
800 Issued in PR
Practice address
Urb Villa Borinquen
Calle Yucayeque, L-11
Caguas, PR 00725-0072
Phone
(787) 444-3699
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 800 PR Primary

Addresses

Primary practice location

Urb Villa Borinquen
Calle Yucayeque, L-11
Caguas, PR 00725-0072

Mailing address

Urb. Condado Jazmin 115
Caguas
PR, PR 00725
Phone (787) 444-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapy Touch Inc Massage Therapist CurrentSince Nov 28, 2021 Accepting new patients

Locations

115 Calle Jazmin
Caguas, PR 00725
Phone (787) 444-3699

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1760057798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CONDADO JAZMIN 115",
            "address_2": "CAGUAS",
            "city": "PR",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-444-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA BORINQUEN",
            "address_2": "CALLE YUCAYEQUE, L-11",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250072",
            "telephone_number": "787-444-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS QUINONES",
        "first_name": "IAN",
        "middle_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-09-11",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.