Provider Demographics
NPI:1083804579
Name:QUINTERO, MARK ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANTHONY
Last Name:QUINTERO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 310074
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33231-0074
Mailing Address - Country:US
Mailing Address - Phone:305-860-5156
Mailing Address - Fax:305-860-5314
Practice Address - Street 1:3659 S MIAMI AVE STE 5003
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4231
Practice Address - Country:US
Practice Address - Phone:305-860-5156
Practice Address - Fax:305-860-5314
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2019-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD432710207LP2900X
OH35.092901207LP2900X
NE25732207LP2900X
FLME105392207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine