MEDICARE: VICENTE QUINTERO, M.D. P.A.

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1730414558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICENTE QUINTERO, M.D. P.A.

Provider Business Mailing Address
First Line	:	2967 OAK RUN PKWY STE 210
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-5379
Country	:	US
Telephone Number	:	830-626-5551
Fax Number	:	830-626-5593

Provider Business Practice Location Address
First Line	:	2967 OAK RUN PKWY, STE 210
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-7813
Country	:	US
Telephone Number	:	830-626-5551
Fax Number	:	830-626-5593

Authorized Official
Title or Position	:	OWNER
Name	:	VICENTE QUINTERO
Credential	:	MD
Telephone Number	:	830-626-5551

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	02/19/2026

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