Healthcare Provider Details

I. General information

NPI: 1912935024
Provider Name (Legal Business Name): MARIA QUINTERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY PEDIATRIC HOSPITAL DEPARTMENT OF PEDIATRICS OFFICE 1-A29 1ST FLOOR
SAN JUAN PR
00936-5067
US

IV. Provider business mailing address

SANTA ANASTACIA 24 URB EL VIGIA
RIO PIEDRAS PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-756-4010
  • Fax: 787-777-3227
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10473
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: