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NPI Code Detail

MEDICARE: DR. MARK ANTHONY QUINTERO M.D.

MEDICARE: DR. MARK ANTHONY QUINTERO 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianMD432710PA
2207LP2900XPain Medicine (Anesthesiology) Physician35.092901OH
3207LP2900XPain Medicine (Anesthesiology) Physician25732NE
4207LP2900XPain Medicine (Anesthesiology) PhysicianME105392FL

General Provider Information

NPI Number : 1083804579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANTHONY QUINTERO M.D.
Provider Business Mailing Address
First Line : PO BOX 310074
Second Line :
City : MIAMI
State : FL
Zip : 33231-0074
Country : US
Telephone Number : 305-860-5156
Fax Number : 305-860-5314
Provider Business Practice Location Address
First Line : 3659 S MIAMI AVE STE 5003
Second Line :
City : MIAMI
State : FL
Zip : 33133-4231
Country : US
Telephone Number : 305-860-5156
Fax Number : 305-860-5314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2007
Last Update Date : 05/29/2019

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