Active NPI
Diego Jose Quintana, SA-C
- Surgical Assistant
- Aventura, FL
National Provider Identifier
1083245294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 19-478
- Practice address
- 18041 Biscayne Blvd Apt 1902
Aventura, FL 33160-5251 - Phone
- (786) 858-9178
- NPI assigned
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 19-478 | WI | Primary |
Addresses
Primary practice location
18041 Biscayne Blvd Apt 1902
Aventura, FL 33160-5251
Mailing address
18041 Biscayne Blvd Apt 1902
Aventura, FL 33160-5251
Phone (786) 858-9178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-478 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581206400000",
"number": "1083245294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18041 BISCAYNE BLVD APT 1902",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605251",
"telephone_number": "786-858-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18041 BISCAYNE BLVD APT 1902",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605251",
"telephone_number": "786-858-9178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "DIEGO",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-28",
"last_updated": "2020-02-09",
"certification_date": "2020-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "19-478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
- Quality Medical Personnel Inc.
- Quality Surgical Management Acute and Long Term Care Inc
- Shany Marie Quevedo, MD
- Marco Antonio Quinones Garcia, CAA
- Caprice Quinones, DPT
- Lisa Quintero, LCSW
- Gretel Anelis Rabczak, LMHC
- Elizabeth Rabinovitz, RD
- Radiology Consultants of Hollywood Inc
- Radiology of MSMC, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.