Individual
MARIO LUIS QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD LAC
Contact information
Practice address
105 LUNA ST, SAN GERMAIN, PR 00683
(787) 892-4765
Mailing address
BOX 1837, 105 LUNA ST, SAN GERMAIN, PR 00683
(787) 892-4765
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
077
PR
208D00000X
General Practice Physician
07419
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066886
B CROSS
—
Enumeration date
04/12/2007
Last updated
09/11/2025
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