Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MS17973 | MS |
N | 207RI0011X | Interventional Cardiology | 17973 | MS |
NPI | 1124043641 |
---|---|
Provider Name | Hugo A Quintana |
First Address | Pascagoula, MS 39581-5310 |
Second Address | Pascagoula, MS 39581-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02407350 | (05) | MS |
04854276 | (05) | MS |
H86048 | (02) | MS |