Active NPI
Brenda Liz Quiles
- Home Health Registered Nurse
- Carolina, PR
National Provider Identifier
1922664283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 32098
- Practice address
- Be4 Calle 101 Apt 2
Jardines de Country Club
Carolina, PR 00983-2189 - Phone
- (939) 243-4550
- Fax
- (787) 752-9375
- NPI assigned
- May 13, 2019
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 32098 | PR | Primary |
Addresses
Primary practice location
Be4 Calle 101 Apt 2
Jardines de Country Club
Carolina, PR 00983-2189
Mailing address
PO Box 1965
Carolina, PR 00984-1965
Phone (939) 243-4550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | labjardines.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32098 | PR | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1508912254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1922664283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1965",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009841965",
"telephone_number": "939-243-4550",
"fax_number": "787-752-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BE4 CALLE 101 APT 2",
"address_2": "JARDINES DE COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009832189",
"telephone_number": "939-243-4550",
"fax_number": "787-752-9375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILES",
"first_name": "BRENDA",
"middle_name": "LIZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PR",
"license": "32098",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "labjardines.com",
"affiliation": "N",
"endpointDescription": "Nursing home service",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Street 101 BE #4, Apt 2",
"address_2": "Jardines de Country Club",
"city": "Carolina",
"state": "PR",
"country_code": "US",
"postal_code": "009832189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.