Individual provider Active NPI

Luis Armando Quinones Esquilin, M.D.

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1770772154
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5146 Issued in PR
Practice address
Urb. Altamira St.8 a 21
Fajardo, PR 00738-3616
Phone
(787) 863-4081
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5146 PR Primary

Addresses

Primary practice location

Urb. Altamira St.8 a 21
Fajardo, PR 00738-3616

Mailing address

Urb. Altamira St.8 a 21
Fajardo, PR 00738-3616
Phone (787) 863-4081

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5146PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1770772154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ALTAMIRA ST.8 A 21",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383616",
            "telephone_number": "787-863-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ALTAMIRA ST.8 A 21",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383616",
            "telephone_number": "787-863-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES ESQUILIN",
        "first_name": "LUIS",
        "middle_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.