MEDICARE: RUBEN A QUINTERO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME0071232	FL
2	207VM0101X	Maternal & Fetal Medicine Physician	ME0071232	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	32109	OTHER	FL	BLUE CROSS BLUE SHILED

General Provider Information

NPI Number	:	1043219488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN A QUINTERO M.D.

Provider Business Mailing Address
First Line	:	3850 BIRD RD STE 401
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33146-1515
Country	:	US
Telephone Number	:	786-971-2303
Fax Number	:	786-780-2060

Provider Business Practice Location Address
First Line	:	3850 BIRD RD
Second Line	:	SUITE 401
City	:	MIAMI
State	:	FL
Zip	:	33146-1501
Country	:	US
Telephone Number	:	720-753-3825
Fax Number	:	786-780-2060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/28/2025

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