Individual provider Active NPI

Idelfonso Eddie Quintero, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1750366589
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME82766 Issued in FL
Practice address
9370 Sunset Dr
Suite a-250
Miami, FL 33173-5431
Phone
(305) 595-4510
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME82766 FL Primary

Addresses

Primary practice location

9370 Sunset Dr
Suite a-250
Miami, FL 33173-5431

Mailing address

PO Box 840207
Pembroke Pines, FL 33084-2207
Phone (305) 595-4510

Other identifiers 2

IdentifierTypeStateIssuer
03025OtherFLBCBS
262697700MedicaidFL

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
I20111109000786 FL Practitioner - Anesthesiology 8628241593 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia Group One PLLCGroup PAC ID 1052653276, 22 clinicians
Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians
Iq Board Certified ServicesGroup PAC ID 5395220792, 11 clinicians
Nova Medical Services - Anesthesiology Division LLCGroup PAC ID 4284156613, 62 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone 50391429091056

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (503) 914-2909

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82766FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Anesthesiology Division LLC Anesthesiology CurrentSince Feb 26, 2025 Accepting new patients
Iq Board Certified Services Anesthesiology CurrentSince Oct 29, 2023 Accepting new patients
Hialeah Anesthesia Specialists LLC Anesthesiology CurrentSince Nov 10, 2020 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. Anesthesiology CurrentSince Mar 14, 2016 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1750366589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840207",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330842207",
            "telephone_number": "305-595-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SUNSET DR",
            "address_2": "SUITE A-250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735431",
            "telephone_number": "305-595-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "IDELFONSO",
        "middle_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME82766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03025",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262697700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.