Active NPI
Mark Anthony Quintero, M.D.
- Pain Medicine (Anesthesiology) Physician
- Miami, FL
National Provider Identifier
1083804579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME105392
- Practice address
- 3659 S Miami Ave Ste 5003
Miami, FL 33133-4231 - Phone
- (305) 860-5156
- Fax
- (305) 860-5314
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD432710 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35.092901 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25732 | NE | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME105392 | FL | Primary |
Addresses
Primary practice location
3659 S Miami Ave Ste 5003
Miami, FL 33133-4231
Mailing address
PO Box 310074
Miami, FL 33231-0074
Phone (305) 860-5156
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.092901 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Physician Group LLC | Pain Medicine | Past | Accepting new patients |
| Doctors Pain Center, LLC | Pain Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Boardman, OH
- NPI 1386698215
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- North Platte, NE
- NPI 1740465715
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1083804579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310074",
"city": "MIAMI",
"state": "FL",
"postal_code": "332310074",
"telephone_number": "305-860-5156",
"fax_number": "305-860-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 S MIAMI AVE STE 5003",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334231",
"telephone_number": "305-860-5156",
"fax_number": "305-860-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD432710",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35.092901",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NE",
"license": "25732",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME105392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.