Organization Active NPI

Quintana Nutritional Services LLC

  • Registered Dietitian
  • Coto Laurel, PR
National Provider Identifier
1932921673
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
QUINTANA NUTRITIONAL SERVICES LLC
Practice address
Torre Medica San Cristobal
3007 Ave San Cristobal Ste 314
Coto Laurel, PR 00780-2280
Phone
(787) 432-3195
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Edwin A Quintana Filippetti, RDNPI 1427883545
Title
President / Owner
Phone
(787) 432-6399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

Torre Medica San Cristobal
3007 Ave San Cristobal Ste 314
Coto Laurel, PR 00780-2280

Mailing address

PO Box 8428
Ponce, PR 00732-8428
Phone (787) 432-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241202001775 PR Part B Supplier - Clinic/Group Practice 5193250066 Receives reassigned benefits from 1 practitioner
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Locations

3007 Ave San Cristobal
Ste 314
Coto Laurel, PR 00780
Phone (787) 432-3195

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1932921673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8428",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328428",
            "telephone_number": "787-432-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN CRISTOBAL",
            "address_2": "3007 AVE SAN CRISTOBAL STE 314",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802280",
            "telephone_number": "787-432-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTANA NUTRITIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "QUINTANA FILIPPETTI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "787-432-6399",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.