Individual provider Active NPI

Concepcion C Quintero, DMD

  • General Practice Dentistry
  • Comerio, PR
National Provider Identifier
1851408421
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1645 Issued in PR
Practice address
Bo. Vega Redonda,Carretera 778, Sector Pasarell
Pabellon de Servicios
Comerio, PR 00782
Phone
(787) 875-2190
Fax
(787) 875-2342
NPI assigned
Aug 23, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 D1645 PR Primary

Addresses

Primary practice location

Bo. Vega Redonda,Carretera 778, Sector Pasarell
Pabellon de Servicios
Comerio, PR 00782

Mailing address

323 Camino del Guama
Sabanera Dorado
Dorado, PR 00646-3619
Phone (787) 626-6581

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
I20160414001709 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426356007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1851408421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CAMINO DEL GUAMA",
            "address_2": "SABANERA DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463619",
            "telephone_number": "787-626-6581",
            "fax_number": "787-626-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. VEGA REDONDA,CARRETERA 778, SECTOR PASARELL",
            "address_2": "PABELLON DE SERVICIOS",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782",
            "telephone_number": "787-875-2190",
            "fax_number": "787-875-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "CONCEPCION",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

Verify at the official NPI Registry.