MEDICARE: LUIS C QUINTERO MD PA

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649585373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUIS C QUINTERO MD PA

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	:	305-666-9963
Fax Number	:	305-666-3768

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	:	305-666-3768

Authorized Official
Title or Position	:	MANAGER/CREDENTIALING
Name	:	MRS. JACQUELINE RABI
Credential	:
Telephone Number	:	786-306-4327

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	03/12/2025

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Directions to “LUIS C QUINTERO MD PA ” Practice Location

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