Healthcare Provider Details

I. General information

NPI: 1689290298
Provider Name (Legal Business Name): HECTOR QUINTERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. LAUREL, SANTA JUANITA UNIVERSIDAD CENTRAL DEL CARIBE
BAYAMON PR
00956
US

IV. Provider business mailing address

PO BOX 8276
CAGUAS PR
00726-8276
US

V. Phone/Fax

Practice location:
  • Phone: 787-798-3001
  • Fax:
Mailing address:
  • Phone: 787-690-3890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24010
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number87378-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: