Organization Active NPI

Centurion Quintana & Associates MDS PA

  • Internal Medicine Physician
  • Miami Shores, FL
National Provider Identifier
1972630184
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTURION QUINTANA & ASSOCIATES MDS PA
Practice address
9526 NE 2ND Ave
Suite 102
Miami Shores, FL 33138-2750
Phone
(305) 751-0007
Fax
(305) 754-4947
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Juan A Quintana, M.D.NPI 1598754178
Title
Owner
Phone
(305) 751-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

9526 NE 2ND Ave
Suite 102
Miami Shores, FL 33138-2750

Mailing address

9526 NE 2ND Ave
Suite 102
Miami Shores, FL 33138-2750
Phone (305) 751-0007

Other identifiers 1

IdentifierTypeStateIssuer
056481800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000092 FL Part B Supplier - Clinic/Group Practice 8820182801 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL; Miami Shores, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

2100 Salzedo St
Ste 200
Coral Gables, FL 33134

4625 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 665-8422

815 NW 57th Ave
Ste 100
Miami, FL 33126
Phone (305) 261-0555

9519 NE 2nd Ave
Miami Shores, FL 33138
Phone (305) 751-0007

Practitioners & affiliated clinicians

Practitioners 2

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1972630184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE 102",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-751-0007",
            "fax_number": "305-754-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE 102",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-751-0007",
            "fax_number": "305-754-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION QUINTANA & ASSOCIATES MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-751-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056481800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.