Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME0071232 | FL |
NPI | 1043219488 |
---|---|
Provider Name | Ruben A Quintero |
First Address | Miami, FL 33146-1501 |
Second Address | Miami, FL 33146-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 12/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
251054500 | (05) | FL |
32109 | BLUE CROSS BLUE SHILED (01) | FL |
E43067 | (02) | FL |