Quintero, Jesus Fernando

Quintero, Jesus Fernando is an individual health care provider with primary practice located at 2161 E Commercial Blvd 2Nd Floor, Ft Lauderdale FL 33308-3810. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Quintero, Jesus Fernando can be contacted via phone (954) 491-5187.

Contact Information

Primary practice address
2161 E Commercial Blvd 2Nd Floor Ft Lauderdale FL 33308-3810
Fax: (954) 491-5217
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0071422 Florida

Profile Details

NPI number 1902856438
LBN Legal business name Quintero, Jesus Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902856438 NPPES
Florida MEDICAID 251708600

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