Individual provider Active NPI

Ineabelle Quintero, O.D.

  • Optometrist
  • Isabela, PR
National Provider Identifier
1902952724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
268 Issued in PR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051564OtherPRCRUZ AZUL
215213OtherPRPREFERRED HEALTH PLAN
53860OtherPRINTERNATIONAL MEDICAL CAR
0660476694OtherPRMCS OPTICA
50681OtherPRPMC
58156OtherPRSSS
068-268OtherPRGLOBAL HEALTH PLAN
2071-5OtherPRASOC DE MAESTROS
5274OtherPRAMERICAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000050 PR Practitioner - Optometry 2062693690 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268PRMDOptometrist

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

Verify at the official NPI Registry.