Organization
QUINTERO MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR QUINTERO (PRESIDENT)
(305) 822-8285
Entity
Organization
Contact information
Practice address
4646 W 4TH AVE, HIALEAH, FL 33012-3907
(305) 822-8285
(305) 822-8286
Mailing address
4646 W 4TH AVE, HIALEAH, FL 33012-3907
(305) 822-8285
(305) 822-8286
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
594438-5
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8011-4849
CITY OF HIALEAH OCCUPATIO
FL
Enumeration date
07/28/2006
Last updated
08/22/2020
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