Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD61024521 | WA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME11507 | FL |
NPI | 1134214802 |
---|---|
Provider Name | Dr. Christian Quintero |
First Address | Belle Glade, FL 33430-3426 |
Second Address | Hollywood, FL 33021-6987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012029300 | (05) | FL |
2154223 | (05) | WA |