Provider Demographics
NPI:1043219488
Name:QUINTERO, RUBEN A (MD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:A
Last Name:QUINTERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 BIRD RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1501
Mailing Address - Country:US
Mailing Address - Phone:720-753-3825
Mailing Address - Fax:786-780-2060
Practice Address - Street 1:3850 BIRD RD
Practice Address - Street 2:SUITE 401
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1501
Practice Address - Country:US
Practice Address - Phone:720-753-3825
Practice Address - Fax:786-780-2060
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071232207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251054500Medicaid
FL32109OtherBLUE CROSS BLUE SHILED
FLE43067Medicare UPIN
FL32109OtherBLUE CROSS BLUE SHILED