Individual
DR. LUIS QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6130
Mailing address
3 WALNUT TRACE CT, SIMPSONVILLE, SC 29681-4769
(864) 284-0494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8675
SC
207P00000X
Emergency Medicine Physician
Primary
ME37409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05425
BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
07/08/2007
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