Dr. Angel E Quintana Cruz Sr., DMD
Dentist, General Practice in Aibonito, PR. Individual provider (NPI-1).
NPI number1104717859
StatusActive
Last updated in NPPESJul 19, 2025
Details
- NPI
- 1104717859
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angel E Quintana Cruz Sr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 19, 2025
- Last updated
- Jul 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3575 | PR | Yes |
Practice location
Parque Industrial L-238-0-61 Carretera Pr-725 Km 05Barrio Llanos
Aibonito, PR 00705
Phone 787-518-0816
Mailing address
2-26 Calle 5Carolina, PR 00983-2934
Phone 787-518-0816
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All 8 General Practice Dentistry providers in Aibonito · All 441 providers in Aibonito
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