Provider Demographics
NPI:1790157543
Name:QUINTANA, ERIKA ALEXIS (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ALEXIS
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9754 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229
Mailing Address - Country:US
Mailing Address - Phone:303-418-8777
Mailing Address - Fax:720-247-9064
Practice Address - Street 1:9754 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229
Practice Address - Country:US
Practice Address - Phone:303-418-8777
Practice Address - Fax:720-247-9064
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLQ535201897950207R00000X
CODR.0060379208M00000X
CODR0060379207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist