NPIMap

Organization Active NPI

Elvia a. Quintero S.

  • General Practice Dentistry
  • Tijuana, CA
National Provider Identifier
1093482796
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELVIA A. QUINTERO S.
Practice address
Paseo de Los Alamos 914940B
Fracc. El Refugio
Tijuana, CA 22243
Phone
(664) 378-7135
Fax
(858) 430-3143
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elvia Araceli Quintero S., DDS
Title
Owner
Phone
(664) 378-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

Paseo de Los Alamos 914940B
Fracc. El Refugio
Tijuana, CA 22243

Mailing address

10459 Loma Rancho Dr.
Spring Valley, CA 91978
Phone (664) 378-7135

National Provider Directory

National Provider Directory

Locations

Paseo De Los Alamos 914940b
Arlington, VA 22243
Phone (664) 378-7135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1093482796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10459 LOMA RANCHO DR.",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "91978",
            "telephone_number": "664-378-7135",
            "fax_number": "858-430-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO DE LOS ALAMOS 914940B",
            "address_2": "FRACC. EL REFUGIO",
            "city": "TIJUANA",
            "state": "CA",
            "postal_code": "22243",
            "telephone_number": "664-378-7135",
            "fax_number": "858-430-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELVIA A. QUINTERO S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "QUINTERO S.",
        "authorized_official_first_name": "ELVIA",
        "authorized_official_middle_name": "ARACELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "664-378-7135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tijuana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.