| Centurion Quintana & Associates Mds Pa | |
|
9526 Ne 2nd Ave Suite 102 Miami Shores FL 33138-2750 | |
| (305) 751-0007 | |
| (305) 754-4947 |
| Full Name | Centurion Quintana & Associates Mds Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9526 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Juan A Quintana (OWNER) |
| Authorized Official Contact | 3057510007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centurion Quintana & Associates Mds Pa 9526 Ne 2nd Ave Suite 102 Miami Shores FL 33138-2750 Ph: (305) 751-0007 | Centurion Quintana & Associates Mds Pa 9526 Ne 2nd Ave Suite 102 Miami Shores FL 33138-2750 Ph: (305) 751-0007 |
| NPI Number | 1972630184 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/17/2015 |
| Medicare PECOS PAC ID | 8820182801 |
|---|---|
| Medicare Enrollment ID | O20070921000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972630184 | NPI | - | NPPES |
| 056481800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Juan A Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598754178 PECOS PAC ID: 7416948690 Enrollment ID: I20040518001486 |
| Provider Name | Jose J Centurion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376532655 PECOS PAC ID: 5092611749 Enrollment ID: I20060117001138 |
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