| Quintero Medical Center Corp | |
|
4646 W 4th Ave Hialeah FL 33012-3907 | |
| (305) 822-8285 | |
| (305) 822-8286 |
| Full Name | Quintero Medical Center Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 4646 W 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Omar Quintero (PRESIDENT) |
| Authorized Official Contact | 3058228285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quintero Medical Center Corp 4646 W 4th Ave Hialeah FL 33012-3907 Ph: (305) 822-8285 | Quintero Medical Center Corp 4646 W 4th Ave Hialeah FL 33012-3907 Ph: (305) 822-8285 |
| NPI Number | 1629082615 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629082615 | NPI | - | NPPES |
| 8011-4849 | Other | FL | CITY OF HIALEAH OCCUPATIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 594438-5 (Florida) | Primary |
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