Jose Roberto Quero, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME50080 Issued in FL

Practice address

1454 Madison Ave W
Immokalee, FL 34142-2200

Phone

(239) 658-3023

Fax

(239) 658-3175

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  Medicare reassignment NPD
• Collier Health Services, Inc

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1609759091
  NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265461453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3023",
            "fax_number": "239-658-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3023",
            "fax_number": "239-658-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERO",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME50080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046287000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orayna Perez
• Marie E Pierrelus, RD, LD
• Psychotherapeutic Services of Florida
• Juan Rigoberto Puerto, M.D.
• Quality Healthcare Staffing Services, LLC
• Aracelis Lopez Quinonez, RD
• Reinier F Ramirez, MD
• Ana G Ramos Peraza
• Paulette Vicario Ramsey, NP
• Results Care, LLC

• Internal Medicine Physician in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.