Organization Active NPI

Mark Anthony Quintero MD LLC

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
National Provider Identifier
1538410097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME105392 Issued in FL
Legal business name
MARK ANTHONY QUINTERO MD LLC
Practice address
3659 S Miami Ave Ste 5003
Miami, FL 33133-4231
Phone
(305) 860-5156
Fax
(305) 860-5314
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mark A Quintero, M. D.
Title
President
Phone
(305) 860-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

140 Gateway Cir
Unit 4
Saint Johns, FL 32259
Phone (904) 808-1314

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538410097",
    "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": {
        "organization_name": "MARK ANTHONY QUINTERO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-860-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Jul 21, 2022; 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.