Individual provider Active NPI

Hernan Enrique Quintero, DDS

  • Prosthodontics
  • Miami, FL
National Provider Identifier
1386823557
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN18074 Issued in FL
Practice address
1060 Brickell Ave
Suite #103/M2
Miami, FL 33131-3915
Phone
(305) 373-9699
Fax
(305) 373-9979
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN18074 FL Primary
Denturist 122400000X DN18074 FL

Addresses

Primary practice location

1060 Brickell Ave
Suite #103/M2
Miami, FL 33131-3915

Mailing address

1060 Brickell Ave
Suite #103/M2
Miami, FL 33131-3915
Phone (305) 373-9699

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

LicenseStateTypeSpecialty
DN18074FLMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1386823557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BRICKELL AVE",
            "address_2": "SUITE #103/M2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313915",
            "telephone_number": "305-373-9699",
            "fax_number": "305-373-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BRICKELL AVE",
            "address_2": "SUITE #103/M2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313915",
            "telephone_number": "305-373-9699",
            "fax_number": "305-373-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "HERNAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN18074",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "FL",
            "license": "DN18074",
            "primary": false
        }
    ],
    "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 Jan 20, 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.

Verify at the official NPI Registry.