MEDICARE: DR. NELSON QUINTANA ALBERTORIO D.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	122300000X	Dentist	2044	PR

General Provider Information

NPI Number	:	1639242282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NELSON QUINTANA ALBERTORIO D.M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8838
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732-8838
Country	:	US
Telephone Number	:	787-284-1313
Fax Number	:	787-284-1515

Provider Business Practice Location Address
First Line	:	1965 BLVD LUIS A FERRE
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1815
Country	:	US
Telephone Number	:	787-284-1313
Fax Number	:	787-284-1515

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/16/2024

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