Individual provider Active NPI

Adrian Quintana

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1932837093
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021096 Issued in FL
Practice address
3255 Forest Hill Blvd
West Palm Beach, FL 33406-5854
Phone
(561) 964-4577
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11021096 FL
Family Nurse Practitioner 363LF0000X 11021096 FL Primary

Addresses

Primary practice location

3255 Forest Hill Blvd
West Palm Beach, FL 33406-5854

Mailing address

135 Woodland Rd
Palm Springs, FL 33461-1050
Phone (786) 350-5078

Other practice location 1

135 Woodland Rd
Palm Springs, FL 33461-1050
Phone (786) 350-5078

Other names 1

  • Adrian Quintana Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923000141 FL Practitioner - Nurse Practitioner 1557746757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Soma Medical Center PA 10Group PAC ID 5193199115, 4 clinicians

Practice addresses (Care Compare)

1402 Royal Palm Beach Blvd
Suite 200
Royal Palm Beach, FL 33411-1668
Phone (561) 907-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021096FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA CurrentSince Sep 9, 2022 Accepting new patients
Soma Medical Center PA 10 CurrentSince Jul 1, 2023 Accepting new patients
Soma Medical Center, PA CurrentSince Sep 9, 2022 Accepting new patients

Locations

1402 Royal Palm Beach Blvd
Ste 200
Royal Palm Beach, FL 33411
Phone (561) 907-4888

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1932837093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WOODLAND RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611050",
            "telephone_number": "786-350-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334611050",
            "country_code": "US",
            "telephone_number": "786-350-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "QUINTANA",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.