NPIMap

Organization Active NPI

Quintana & Perez MD PA

  • Specialist
  • Titusville, FL
National Provider Identifier
1962694836
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME54991 Issued in FL
Legal business name
QUINTANA & PEREZ MD PA
Practice address
800 Century Medical Dr
Ste B
Titusville, FL 32796-2151
Phone
(321) 383-2122
Fax
(321) 383-4119
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Dr. Manuel R Quintana, M.D.
Title
Physician
Phone
(321) 383-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME54991 FL Primary

Addresses

Primary practice location

800 Century Medical Dr
Ste B
Titusville, FL 32796-2151

Mailing address

800 Century Medical Dr
Ste B
Titusville, FL 32796-2151
Phone (321) 383-2122

Other names 1

  • Advanced Care for Women Doing business as

National Provider Directory

National Provider Directory

Locations

800 Century Medical Dr
Ste B
Titusville, FL 32796
Phone (321) 383-2122

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1962694836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CENTURY MEDICAL DR",
            "address_2": "STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962151",
            "telephone_number": "321-383-2122",
            "fax_number": "321-383-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CENTURY MEDICAL DR",
            "address_2": "STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962151",
            "telephone_number": "321-383-2122",
            "fax_number": "321-383-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTANA & PEREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-383-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME54991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Care for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.