Fabiola Quintero-Rivera, MD

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

MTO00000497 Issued in CA

Practice address

1010 Veteran Ave # 22-12H
Los Angeles, CA 90024-2704

Phone

(617) 791-2743

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1891344578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PALISADES DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VETERAN AVE # 22-12H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242704",
            "telephone_number": "617-791-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO-RIVERA",
        "first_name": "FABIOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "MTO00000497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Rosibel Quintanilla, RDA
• Susie Jenny Quintanilla
• Lydia Quintanills, R1237331116
• Bryan Matthew Quintas
• Perla Quintero Hernandez
• Crystal Quintero
• Elizabeth Quintero
• Gabriela Quintero, RDA
• Gabriela Quintero, M.S MFT
• Gladys Quintero, N.P.

• Clinical Cytogenetics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Cytogenetics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.