Quintero Medical Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

594438-5 Issued in FL

Legal business name

QUINTERO MEDICAL CENTER CORP

Practice address

4646 W 4TH Ave
Hialeah, FL 33012-3907

Phone

(305) 822-8285

Fax

(305) 822-8286

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Omar Quintero

Title

President

Phone

(305) 822-8285

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Alan Nelson, D.O.

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1629036025
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629082615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123907",
            "telephone_number": "305-822-8285",
            "fax_number": "305-822-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123907",
            "telephone_number": "305-822-8285",
            "fax_number": "305-822-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTERO MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-8285"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "594438-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF HIALEAH OCCUPATIO",
            "identifier": "8011-4849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Quintanal Fuentes
• Felix Quintanar Perez
• Felix Quintanar Pulido
• Quintas Group Inc
• Jenisse Quintela Lozano
• Neylin Quintero Perez, APRN
• Carlos Quintero-Lostal
• Lilyana Quintero I, DO
• Marilu Quintero
• Marisol Quintero

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.