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General NPI Number Information
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NPI Number | 1558865576
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Entity Type | Individual
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Provider Name | SAMUEL LUIS QUINTERO MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 420 S DIXIE HWY STE 4E
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City | CORAL GABLES
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State | FL
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Zip | 33146-2232
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Country | US
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Telephone | 305-666-9963
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Fax |
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Provider Business Mailing Address
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Address Line | 420 S DIXIE HWY STE 4E
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City | CORAL GABLES
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State | FL
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Zip | 33146-2232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME178532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 326174
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License Number State | NY
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