Individual provider Active NPI

Jose D Quiles, MD

  • General Practice Physician
  • Santa Isabel, PR
National Provider Identifier
1982673794
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7665 Issued in PR
Practice address
54 Luis Munoz Rivera Street
Santa Isabel, PR 00757
Phone
(787) 845-6211
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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 7665 PR Primary

Addresses

Primary practice location

54 Luis Munoz Rivera Street
Santa Isabel, PR 00757

Mailing address

PO Box 645
Santa Isabel, PR 00757-0645
Phone (787) 845-6211

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
I20060110000516 PR Practitioner - General Practice 2860415452 Practice locations: Santa Isabel, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7665PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quiles Medical Inc Past Accepting new patients
Santa Isabel Medical Group Past Accepting new patients

Organizations & group practices 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1982673794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570645",
            "telephone_number": "787-845-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LUIS MUNOZ RIVERA STREET",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.