Individual provider Active NPI

Edgardo Soto Quinones, M,D.

  • Family Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1881660017
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9104 Issued in PR
Practice address
Ave.R. Rodriguez B-12
Villa Clementina
Guaynabo, PR 00969-0969
Phone
(787) 708-1181
Fax
(787) 708-1181
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9104 PR Primary

Addresses

Primary practice location

Ave.R. Rodriguez B-12
Villa Clementina
Guaynabo, PR 00969-0969

Mailing address

PO Box 2904
Ave.Washington F-5 Parkville
Guaynabo, PR 00970-2904
Phone (787) 790-7817

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050625000006 PR Practitioner - Family Practice 4880639228 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9104PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Mar 20, 1990 Accepting new patients
Cossma Inc CurrentSince Mar 20, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1881660017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2904",
            "address_2": "AVE.WASHINGTON F-5 PARKVILLE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702904",
            "telephone_number": "787-790-7817",
            "fax_number": "787-708-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE.R. RODRIGUEZ B-12",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690969",
            "telephone_number": "787-708-1181",
            "fax_number": "787-708-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO QUINONES",
        "first_name": "EDGARDO",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.