MEDICARE: MIGUEL J. 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
1	207W00000X	Ophthalmology Physician	MD034274L	PA

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	:	1659352862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL J. QUINTERO MD

Provider Business Mailing Address
First Line	:	144 S 20TH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2052
Country	:	US
Telephone Number	:	412-488-7454
Fax Number	:	412-488-7795

Provider Business Practice Location Address
First Line	:	144 S 20TH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2052
Country	:	US
Telephone Number	:	412-488-7454
Fax Number	:	412-488-7795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	01/08/2008

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