Provider Demographics
NPI:1578709721
Name:Q-MEDICINE INC
Entity Type:Organization
Organization Name:Q-MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-256-5555
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-2100
Mailing Address - Country:US
Mailing Address - Phone:787-256-5555
Mailing Address - Fax:
Practice Address - Street 1:64 CASTILLOS DEL MAR
Practice Address - Street 2:ED 1
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735-3618
Practice Address - Country:US
Practice Address - Phone:787-256-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service