Individual provider Active NPI

Javier Quintana Padilla, LPN

  • Licensed Practical Nurse
  • Ponce, PR
National Provider Identifier
1790942969
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
030923 Issued in PR
Practice address
Ponce Ave Tito Castro Al Lados de San Lucus
Hospital Siquiatria Forence #2
Ponce, PR 00731
Phone
(787) 487-5226
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 030923 PR Primary

Addresses

Primary practice location

Ponce Ave Tito Castro Al Lados de San Lucus
Hospital Siquiatria Forence #2
Ponce, PR 00731

Mailing address

Villa Paraiso #1849 Calle Ternura
Ponce, PR 00728
Phone (787) 487-5226

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

LicenseStateTypeSpecialty
030923PRMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1790942969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA PARAISO #1849 CALLE TERNURA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-487-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE AVE TITO CASTRO AL LADOS DE SAN LUCUS",
            "address_2": "HOSPITAL SIQUIATRIA FORENCE #2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-487-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA PADILLA",
        "first_name": "JAVIER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "030923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.