Individual provider Active NPI

Guillermo Quinones, D.M.D.

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1801891783
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2409 Issued in PR
Practice address
Hospital San Juan Bautista-Clinicas Externas
Expreso Luis a. Ferre -Salida#21
Caguas, PR 00915
Phone
(787) 286-1644
Fax
(787) 286-1644
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 2409 PR Primary

Addresses

Primary practice location

Hospital San Juan Bautista-Clinicas Externas
Expreso Luis a. Ferre -Salida#21
Caguas, PR 00915

Mailing address

Plaza Silvestre Er95 Entrerios
Er95
Trujillo Alto, PR 00976
Phone (787) 286-1644

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
I20170427001817 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012294150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2409PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1801891783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA SILVESTRE ER95 ENTRERIOS",
            "address_2": "ER95",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-286-1644",
            "fax_number": "787-286-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN JUAN BAUTISTA-CLINICAS EXTERNAS",
            "address_2": "EXPRESO LUIS A. FERRE -SALIDA#21",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-286-1644",
            "fax_number": "787-286-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.