Jose Edwin Quinones Vazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21731 Issued in PR

Practice address

Calle Luis Munoz Rivera 718
Penuelas, PR 00624-0000

Phone

(787) 836-4520

Fax

(787) 836-4520

NPI assigned

Jun 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Municipio de Guanica

  • Emergency Care Clinic/Center
  • Guanica, PR
  • NPI 1205029709

  General Practice

  Medicare reassignment NPD
• Policlinica Las Americas Medical Center, Inc.

  • General Practice Physician
  • Ponce, PR
  • NPI 1386613446
  Medicare reassignment NPD
• Municipio de Guanica

  • Clinic/Center
  • Guanica, PR
  • NPI 1174847354
  NPD
• Policlinica Las Americas Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Ponce, PR
  • NPI 1578849048
  NPD (past)

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1992329239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830201",
            "telephone_number": "939-281-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA 718",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240000",
            "telephone_number": "787-836-4520",
            "fax_number": "787-836-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Blvd Luis A Ferre Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007170798",
            "country_code": "US",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES VAZQUEZ",
        "first_name": "JOSE",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Perez
• Policlinica del Carmen
• Virgilio Aritidy Polonio, MD
• Promedical Ambulance Service Inc
• Guillermina Quinones Irizarry, RN
• Daisy Quiros, M.D.
• Jorge R. Ramirez-Montalvo, M.D.
• Jorge Luis Ramos, DMD
• Haroline Raquel Rivera Alvarado
• Pedro Jose Rivera, PA

• General Practice Physician in Penuelas, PR
• Providers in Penuelas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.