Provider Demographics
NPI:1598759649
Name:QUINTANA-VALENTIN, JOSE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:E
Last Name:QUINTANA-VALENTIN
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 1:150 CALLE LA PAZ
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-3209
Mailing Address - Country:US
Mailing Address - Phone:787-399-7045
Mailing Address - Fax:
Practice Address - Street 1:150 CALLE LA PAZ
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3209
Practice Address - Country:US
Practice Address - Phone:787-399-7045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13114208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR58000OtherFIRST MEDICAL
PR6020064OtherHUMANA
PR4378OtherAMERICAN HEALTH PLAN
PR90412QUOtherTRIPLE-S
PR201931OtherPREFFERRED HEALTH PLAN
PR119-13114OtherGLOBAL HEALTH PLAN
PR58000OtherFIRST MEDICAL
PR6020064OtherHUMANA