Active NPI
Sergio Quintero, BA
- Case Manager/Care Coordinator
- Anthony, NM
National Provider Identifier
1164751608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 134311096
- Practice address
- 820 Hwy 478
Anthony, NM 88021 - Phone
- (575) 882-5101
- Fax
- (575) 882-2858
- NPI assigned
- Dec 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 134311096 | NM | Primary |
Addresses
Primary practice location
820 Hwy 478
Anthony, NM 88021
Mailing address
P.O. Box 4430
Anthony, NM 88021
Phone (575) 882-5101
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134311096 | NM | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Mexico Human Development, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Anthony, NM
- NPI 1376662874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1164751608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 4430",
"city": "ANTHONY",
"state": "NM",
"postal_code": "88021",
"telephone_number": "575-882-5101",
"fax_number": "575-882-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 HWY 478",
"city": "ANTHONY",
"state": "NM",
"postal_code": "88021",
"telephone_number": "575-882-5101",
"fax_number": "575-882-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "SERGIO",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-11",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": "134311096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.