Provider Demographics
NPI:1700092855
Name:QUINTO, RUBEN L III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:L
Last Name:QUINTO
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11005 HAGEN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1817
Mailing Address - Country:US
Mailing Address - Phone:505-298-0043
Mailing Address - Fax:
Practice Address - Street 1:11005 HAGEN RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1817
Practice Address - Country:US
Practice Address - Phone:505-298-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP5542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist