Healthcare Provider Details

I. General information

NPI: 1417721929
Provider Name (Legal Business Name): WILLIAM QUINTERO PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 NW 16TH ST STE 104
BELLE GLADE FL
33430-2839
US

IV. Provider business mailing address

349 NW 16TH ST STE 104
BELLE GLADE FL
33430-2839
US

V. Phone/Fax

Practice location:
  • Phone: 561-996-1990
  • Fax: 877-736-1460
Mailing address:
  • Phone: 561-996-1990
  • Fax: 877-736-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1726
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23564
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: