Active NPI
Ineabelle Quintero, O.D.
- Optometrist
- Isabela, PR
National Provider Identifier
1902952724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 268
- Practice address
- 3112 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614 - Phone
- (787) 872-5165
- Fax
- (787) 872-5165
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 268 | PR | Primary |
Addresses
Primary practice location
3112 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614
Mailing address
3112 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614
Phone (787) 872-5165
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051564 | Other | PR | CRUZ AZUL |
| 215213 | Other | PR | PREFERRED HEALTH PLAN |
| 53860 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 0660476694 | Other | PR | MCS OPTICA |
| 50681 | Other | PR | PMC |
| 58156 | Other | PR | SSS |
| 068-268 | Other | PR | GLOBAL HEALTH PLAN |
| 2071-5 | Other | PR | ASOC DE MAESTROS |
| 5274 | Other | PR | AMERICAN HEALTH MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000050 | PR | Practitioner - Optometry | 2062693690 | Practice locations: Isabela, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902952724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 AVE JUAN HERNANDEZ ORTIZ",
"city": "ISABELA",
"state": "PR",
"postal_code": "006623614",
"telephone_number": "787-872-5165",
"fax_number": "787-872-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 AVE JUAN HERNANDEZ ORTIZ",
"city": "ISABELA",
"state": "PR",
"postal_code": "006623614",
"telephone_number": "787-872-5165",
"fax_number": "787-872-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "INEABELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "051564",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "215213",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "53860",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS OPTICA",
"identifier": "0660476694",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "50681",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "58156",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH PLAN",
"identifier": "068-268",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASOC DE MAESTROS",
"identifier": "2071-5",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH MEDICARE",
"identifier": "5274",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.