Active NPI
Marieliz Enid Quintana Baez
- Professional Counselor
- San Sebastian, PR
National Provider Identifier
1770178360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1479
- Practice address
- Bo Guatemala
Carr 111 KM 16.8 Int
San Sebastian, PR 00685 - Phone
- (787) 374-2161
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1479 | PR | |
| Professional Counselor | 101YP2500X | 1479 | PR | Primary |
Addresses
Primary practice location
Bo Guatemala
Carr 111 KM 16.8 Int
San Sebastian, PR 00685
Mailing address
PO Box 3703
San Sebastian, PR 00685-3703
Phone (787) 374-2161
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1770178360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3703",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006853703",
"telephone_number": "787-374-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO GUATEMALA",
"address_2": "CARR 111 KM 16.8 INT",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-374-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA BAEZ",
"first_name": "MARIELIZ",
"middle_name": "ENID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "1479",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "1479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.