Individual provider Active NPI

Brenda Liz Quintana Pippins

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1891876041
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16073 Issued in PR
Practice address
Carr110 KM 6.2
Plaza San Antonio
Aguadilla, PR 00690
Phone
(787) 882-4762
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16073 PR Primary

Addresses

Primary practice location

Carr110 KM 6.2
Plaza San Antonio
Aguadilla, PR 00690

Mailing address

PMB 87 Pobox 60401
Aguadilla, PR 00605

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
I20060111000701 PR Practitioner - General Practice 6608899042 Practice locations: San Antonio, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 110 KM 29
NC Medical Services
San Antonio, PR 00690
Phone (787) 890-0395

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1891876041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 87 POBOX 60401",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR110 KM 6.2",
            "address_2": "PLAZA SAN ANTONIO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-882-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA PIPPINS",
        "first_name": "BRENDA",
        "middle_name": "LIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.