Organization Active NPI

Quintero Medical Institute Corp

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1629523147
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUINTERO MEDICAL INSTITUTE CORP
Practice address
201 17TH St NW Ste 300
Atlanta, GA 30363-1191
Phone
(404) 819-3564
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Daniel Rodriguez
Title
Owner
Phone
(404) 819-3564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X GA Primary

Addresses

Primary practice location

201 17TH St NW Ste 300
Atlanta, GA 30363-1191

Mailing address

201 17TH St NW Ste 300
Atlanta, GA 30363-1191
Phone (404) 819-3564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1629523147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 17TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631191",
            "telephone_number": "404-819-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 17TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631191",
            "telephone_number": "404-819-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTERO MEDICAL INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-819-3564"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.