Active NPI
Consuelo Enid Quesada Torres
- General Practice Physician
- Coamo, PR
National Provider Identifier
1912065145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14951
- Practice address
- 142 Calle Jose I Quinton
Coamo, PR 00769-3037 - Phone
- (787) 825-1771
- NPI assigned
- Dec 4, 2006
- Last updated
- Jun 21, 2021
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14951 | PR | Primary |
Addresses
Primary practice location
142 Calle Jose I Quinton
Coamo, PR 00769-3037
Mailing address
142 Jose I. Quinton
Coamo, PR 00769-3037
Phone (787) 825-1771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14951 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1912065145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JOSE I. QUINTON",
"city": "COAMO",
"state": "PR",
"postal_code": "007693037",
"telephone_number": "787-825-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 CALLE JOSE I QUINTON",
"city": "COAMO",
"state": "PR",
"postal_code": "007693037",
"telephone_number": "787-825-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESADA TORRES",
"first_name": "CONSUELO",
"middle_name": "ENID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coamo, PR
- Ponce Medical School Foundation
- Ponce Medical School Foundation Inc.
- Preserve Vision LLC
- Primary Care Physician for All LLC
- Pysygmo Family (Yamy's Pharmacy)
- Orlando Quincoces, MD
- Emely Quinones Barreto
- Desiree Quinones Rodriguez
- Leonel Ramirez I, MSW
- Ramon Antonio Solivan Miranda (Laboratorio Clinico Soram)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.