Individual provider Active NPI

Juan A. Quinones Soto, D.M.D.

  • General Practice Dentistry
  • Yabucoa, PR
National Provider Identifier
1770549727
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
764 Issued in PR
Practice address
Calle Baldorioty Esq. Fco. Sustache #35
Yabucoa, PR 00767
Phone
(787) 893-2064
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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 764 PR Primary

Addresses

Primary practice location

Calle Baldorioty Esq. Fco. Sustache #35
Yabucoa, PR 00767

Mailing address

PO Box 9
Yabucoa, PR 00767-0009
Phone (787) 893-2064

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
I20170315002097 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931484839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
764PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1770549727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670009",
            "telephone_number": "787-893-2064",
            "fax_number": "787-893-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALDORIOTY ESQ. FCO. SUSTACHE #35",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES SOTO",
        "first_name": "JUAN",
        "middle_name": "A.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.