Provider Demographics
NPI:1306999859
Name:QUINTERO PENA, FRANCISCO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:QUINTERO PENA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:TORRE MEDICA 1 EDIF. DR. PEDRO BLANCO LUGO
Mailing Address - Street 2:200 CARR. # 2 OFICINA 301
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-2500
Mailing Address - Fax:787-884-8747
Practice Address - Street 1:TORRE MEDICA 1 EDIF. DR. PEDRO BLANCO LUGO
Practice Address - Street 2:200 CARR. # 2 OFICINA 301
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-2500
Practice Address - Fax:787-884-8747
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12166207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88485Medicare ID - Type UnspecifiedMEDICARE