Organization Active NPI

Dr.Francisco J. Quintana Gonzalez LLC

  • Health Maintenance Organization
  • Coto Laurel, PR
National Provider Identifier
1972934594
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
12768 Issued in PR
Legal business name
DR.FRANCISCO J. QUINTANA GONZALEZ LLC
Practice address
1243 Bulevar San Luis
Coto Laurel
Coto Laurel, PR 00780-2246
Phone
(787) 848-7766
Fax
(787) 848-4539
NPI assigned
Dec 7, 2013
Last updated
Sep 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Francisco J Quintana, M.D
Title
Presidente
Phone
(787) 848-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 12768 PR Primary

Addresses

Primary practice location

1243 Bulevar San Luis
Coto Laurel
Coto Laurel, PR 00780-2246

Mailing address

1243 Bulevar San Luis
Coto Laurel
Coto Laurel, PR 00780-2246
Phone (787) 848-7766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140922000215 PR Part B Supplier - Clinic/Group Practice 9537388715 Receives reassigned benefits from 1 practitioner
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1972934594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 BULEVAR SAN LUIS",
            "address_2": "COTO LAUREL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802246",
            "telephone_number": "787-848-7766",
            "fax_number": "787-848-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 BULEVAR SAN LUIS",
            "address_2": "COTO LAUREL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802246",
            "telephone_number": "787-848-7766",
            "fax_number": "787-848-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.FRANCISCO J. QUINTANA GONZALEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-07",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-848-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "12768",
            "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 Sep 29, 2014; 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.