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NPI Code Detail

MEDICARE: DR. SAMUEL LUIS QUINTERO MD

MEDICARE:  DR. SAMUEL LUIS QUINTERO  MD
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
1207RG0100XGastroenterology PhysicianME178532FL
2207RG0100XGastroenterology Physician326174NY

General Provider Information

NPI Number : 1558865576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL LUIS QUINTERO MD
Provider Business Mailing Address
First Line : 420 S DIXIE HWY STE 4E
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 420 S DIXIE HWY STE 4E
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2232
Country : US
Telephone Number : 305-666-9963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 02/10/2026

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Directions to “ DR. SAMUEL LUIS QUINTERO MD” Practice Location

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