Individual
DR. IDELFONSO EDDIE QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9370 SUNSET DR, SUITE A-250, MIAMI, FL 33173-5431
(305) 595-4510
Mailing address
PO BOX 840207, PEMBROKE PINES, FL 33084-2207
(305) 595-4510
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME82766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03025
BCBS
FL
05
—
262697700
—
FL
Enumeration date
12/14/2005
Last updated
02/17/2016
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