Provider Demographics
NPI:1407986243
Name:QUINTERO, CHAD E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:E
Last Name:QUINTERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHAD
Other - Middle Name:E
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13860 WELLINGTON TRCE # 38-137
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8588
Mailing Address - Country:US
Mailing Address - Phone:561-762-0049
Mailing Address - Fax:702-453-5741
Practice Address - Street 1:2001 ERRECART BLVD
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8333
Practice Address - Country:US
Practice Address - Phone:561-762-0049
Practice Address - Fax:702-453-5741
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14520207R00000X
WY9276A207R00000X
CODR.0043372207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
017101OtherKAISER-COMMERCIAL NUMBER
CO34709037Medicaid
017101OtherKAISER-COMMERCIAL NUMBER
COC803971Medicare PIN