Active NPI
Luis E. Quinones, MD
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 60608
- Practice address
- 12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842 - Phone
- (904) 886-0361
- Fax
- (904) 886-0382
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 60608 | FL | |
| Psychiatry Physician | 2084P0800X | ME 60608 | FL | Primary |
| Forensic Psychiatry Physician | 2084F0202X | ME 60608 | FL |
Addresses
Primary practice location
12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842
Mailing address
12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842
Phone (904) 886-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375614900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 W 20TH St
Jacksonville, FL 32254-1703
Phone (904) 695-9145
Hospital & facility affiliations
- Shands Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 60608 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Resource Center Inc | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100
4427 Emerson St
Ste 5
Jacksonville, FL 32207
Phone (904) 745-0042
3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364
655 W 8th St
#4S
Jacksonville, FL 32209
Interoperability endpoints
- lquinones54591@direct.shands.ufl.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Jacksonville, FL
- NPI 1851407365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1851338818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD",
"address_2": "SUITE 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231842",
"telephone_number": "904-886-0361",
"fax_number": "904-886-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD",
"address_2": "SUITE 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231842",
"telephone_number": "904-886-0361",
"fax_number": "904-886-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "LUIS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 60608",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 60608",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "FL",
"license": "ME 60608",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375614900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.