Individual provider Active NPI

Jaime E Quinteros, MD

  • Pediatrics Physician
  • Ormond Beach, FL
National Provider Identifier
1649354747
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME77188 Issued in FL
Practice address
1688 W Granada Blvd Ste 1B
Ormond Beach, FL 32174-1818
Phone
(386) 615-4414
Fax
(386) 615-8466
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME77188 FL Primary

Addresses

Primary practice location

1688 W Granada Blvd Ste 1B
Ormond Beach, FL 32174-1818

Mailing address

1688 W Granada Blvd Ste 1B
Ormond Beach, FL 32174-1818
Phone (386) 221-8661

Other identifiers 1

IdentifierTypeStateIssuer
ME77188OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070809000591 FL Practitioner - Pediatric Medicine 1850482548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care Group of Ormond Beach Current Accepting new patients
Pediatric Urgent Care Group of Ormond Beach Pediatrics Current Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Mar 26, 2016 Accepting new patients
Daylight Pediatrics Inc. Pediatrics Current Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360

1688 W Granada Blvd
Ste 1B
Ormond Beach, FL 32174
Phone (386) 221-8661

1688 W Granada Blvd
Ste 1A
Ormond Beach, FL 32174
Phone (386) 615-4414

740 Dunlawton Ave
Ste 100
Port Orange, FL 32127
Phone (386) 767-2402

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1649354747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 1B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-221-8661",
            "fax_number": "386-221-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 1B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-615-4414",
            "fax_number": "386-615-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTEROS",
        "first_name": "JAIME",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME77188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME77188",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.