Provider Demographics
NPI:1265493860
Name:QUINTERO-HOWARD, CHARITO V (MD)
Entity Type:Individual
Prefix:
First Name:CHARITO
Middle Name:V
Last Name:QUINTERO-HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARITO
Other - Middle Name:V
Other - Last Name:QUINTERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:205 E JOPPA RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3260
Mailing Address - Country:US
Mailing Address - Phone:410-337-0007
Mailing Address - Fax:410-337-0071
Practice Address - Street 1:205 EAST JOPPA ROAD
Practice Address - Street 2:SUITE 106, THE RIDGELY
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-337-0007
Practice Address - Fax:410-337-0071
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00551742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H09630Medicare UPIN