Active NPI
Luis A Quinones, M.D.
- Occupational Medicine Physician
- Lake City, FL
National Provider Identifier
1881674380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 14915
- Practice address
- 619 South Marion Avenue
NF/SG Veterans Health System
Lake City, FL 32025 - Phone
- (386) 755-3016
- Fax
- (386) 754-6384
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 431 ACN | FL | |
| General Practice Physician | 208D00000X | 14915 | PR | |
| Emergency Medicine Physician | 207P00000X | 14915 | PR | |
| General Practice Physician | 208D00000X | ACN431 | FL | |
| Acupuncturist | 171100000X | 14915 | PR | |
| Occupational Medicine Physician | 2083X0100X | 14915 | PR | Primary |
Addresses
Primary practice location
619 South Marion Avenue
NF/SG Veterans Health System
Lake City, FL 32025
Mailing address
619 South Marion Avenue
Department of Veterans Affairs North Florida/South Geor
Lake City, FL 32025
Phone (386) 755-3016
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311002302 | FL | Order and Referring Only - Preventive Medicine | 0941112692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431 ACN | FL | MD | Specialist |
| ACN431 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1881674380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVENUE",
"address_2": "DEPARTMENT OF VETERANS AFFAIRS NORTH FLORIDA/SOUTH GEOR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-3016",
"fax_number": "386-754-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVENUE",
"address_2": "NF/SG VETERANS HEALTH SYSTEM",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-3016",
"fax_number": "386-754-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "LUIS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "431 ACN",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14915",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "14915",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN431",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PR",
"license": "14915",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "14915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.