Concepcion C Quintero, DMD
Individual provider Active NPI General Practice Dentistry · Comerio, PR
NPI 1851408421 · NPPES record last updated Jan 10, 2008
Key facts
- NPI
- 1851408421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D1645 (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
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414001709 | PR | Order and Referring Only - Oral Surgery |
8426356007 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1645 | PR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D1645 | PR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D 1645 | Other | PR | DELTA DENTAL |
| D000117 | Other | PR | PLAN MENONITA |
| 2240 | Other | PR | INTL MEDICAL CARD |
| 9610002 | Other | PR | HUMANA PR |
| 041358 | Other | PR | CRUZ AZUL DE PR |
| 41619 | Other | PR | TRIPLE S |
| 206008 | Other | PR | PREFFERRED HEALTH |
Other providers in Comerio, PR
- Nur Salud Comunitaria Inc
- Juan Diego Ocasio
- Gladelis Ortega Cumba
- Claribel Ortiz
- Lissette Enid Perez
- RB Primed Center LLC
- RC Dental Group LLC
- Dayana M Reyes Reyes
- Melizza Reyes Velez
- Damian L Reyes
All providers in Comerio, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.