Organization Active NPI

Luis C Quintero MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
National Provider Identifier
1649585373
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
LUIS C QUINTERO MD PA
Practice address
420 S Dixie Hwy Ste 4E
Coral Gables, FL 33146-2232
Phone
(305) 666-9963
Fax
(305) 666-3768
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mrs. Jacqueline Rabi
Title
Manager/Credentialing
Phone
(786) 306-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

420 S Dixie Hwy Ste 4E
Coral Gables, FL 33146-2232

Mailing address

420 S Dixie Hwy Ste 4E
Coral Gables, FL 33146-2232
Phone (305) 666-9963

Other identifiers 1

IdentifierTypeStateIssuer
125510500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101115001225 FL Part B Supplier - Clinic/Group Practice 2365637469 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0692021Luis C Quintero MD PA420 S Dixie Hwy Suite 4E, Coral Gables, FL 33146Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

420 S Dixie Hwy
Ste 4E
Coral Gables, FL 33146
Phone (305) 666-9963

420 S Dixie Hwy
Ste 4
Coral Gables, FL 33146
Phone (305) 666-9963

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1649585373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S DIXIE HWY STE 4E",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462232",
            "telephone_number": "305-666-9963",
            "fax_number": "305-666-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S DIXIE HWY STE 4E",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462232",
            "telephone_number": "305-666-9963",
            "fax_number": "305-666-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS C QUINTERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "RABI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "786-306-4327",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125510500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.