Provider Demographics
NPI:1679012561
Name:QUINTERO & KONTOPOULOS, PLLC
Entity Type:Organization
Organization Name:QUINTERO & KONTOPOULOS, PLLC
Other - Org Name:THE FETAL INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-966-7048
Mailing Address - Street 1:3850 BIRD RD STE 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1515
Mailing Address - Country:US
Mailing Address - Phone:813-966-7048
Mailing Address - Fax:
Practice Address - Street 1:3850 BIRD RD STE 401
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1515
Practice Address - Country:US
Practice Address - Phone:813-966-7048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL141688261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1043219488OtherNPI
FL251054500Medicaid
FL251054500Medicaid
1043219488OtherNPI