Individual provider Active NPI

Ricardo Luis Quiles-Lopez, MD

  • General Practice Physician
  • Aibonito, PR
National Provider Identifier
1972588952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15232 Issued in PR
Practice address
Bo. Asomante Carr 723 Interseccion Carr 14 KM 0.1
Aibonito, PR 00705
Phone
(787) 375-1888
Fax
(787) 991-1799
NPI assigned
Dec 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
General Practice Physician 208D00000X 15232 PR Primary

Addresses

Primary practice location

Bo. Asomante Carr 723 Interseccion Carr 14 KM 0.1
Aibonito, PR 00705

Mailing address

8 Calle Jesus M Benitez
Adjuntas, PR 00601-2225
Phone (787) 375-1888

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000135 PR Practitioner - General Practice 7214903624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15232PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Servicios de Salud de Adjuntas Inc PastSince Mar 1, 2021 Accepting new patients
Asomante Medical Group General Practice Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Servicios de Hospicio de AdjuntasAdjuntas, PR, CCN 401549 Hospice Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Mar 1, 2021
Mar 1, 2021
Mar 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972588952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE JESUS M BENITEZ",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012225",
            "telephone_number": "787-375-1888",
            "fax_number": "787-991-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ASOMANTE CARR 723 INTERSECCION CARR 14 KM 0.1",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-375-1888",
            "fax_number": "787-991-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES-LOPEZ",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.