MRS. MARICARMEN QUINONES MD
NPI 1164606141
General Practice in San Juan, PR

Active since December 26, 2007PECOS EnrolledAccepts Medicare Assignment
864 AVE SAN PATRICIO, URB. LAS LOMAS, SAN JUAN, PR 00921(787) 792-3203(787) 273-6970 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, Apr 27, 2021 (2 updates tracked since 2021).

About Mrs. Maricarmen Quinones Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARICARMEN QUINONES MD (NPI 1164606141) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (16984) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164606141
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMRS. MARICARMEN QUINONESCredential: MD
Location Address864 AVE SAN PATRICIO, URB. LAS LOMASSan Juan, PR 00921-1308
Mailing Address96 Valle EscondidoGuaynabo, PR 00971 · (787) 477-1118 · Fax (787) 273-6970
Fax(787) 273-6970
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 26, 2007
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1164606141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16984
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Maricarmen Quinones Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577695220
PECOS Enrollment IDI20100716000179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Maricarmen Quinones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
CAYEY SHOPPING CENTER LOCAL 7 Y 8
Cayey, PR 00736
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Healthcare Ambulatory Services Inc
  • 30 clinicians in this Medicare group
Primary Care
864 AVE SAN PATRICIO, LAS LOMAS
San Juan, PR 00921
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services19 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
864 AVE SAN PATRICIO, LAS LOMAS
SAN JUAN, PR 00921
Clinic/Center (Primary Care)
864 AVE SAN PATRICIO, LAS LOMAS
SAN JUAN, PR 00921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maricarmen Quinones's NPI number?

The NPI number for Maricarmen Quinones is 1164606141. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Maricarmen Quinones located?

Maricarmen Quinones practices at 864 Ave San Patricio Urb. Las Lomas, San Juan, PR 00921. The listed phone number is (787) 792-3203.

What is Maricarmen Quinones's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Maricarmen Quinones enrolled in Medicare?

Yes. Maricarmen Quinones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Maricarmen Quinones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maricarmen Quinones reassigns Medicare benefits to 2 organizations: Healthcare Ambulatory Services Inc-Cayey (Cayey, PR) and Jvt Medical Center LLC (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maricarmen Quinones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maricarmen Quinones was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.