Basic Information
| Provider Information | |||||||||
| NPI: | 1023218930 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUINTERO-MENDEZ | ||||||||
| FirstName: | ELISA | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT OF ANESTHESIOLOGY UPR SCHOOL OF MEDICINE | ||||||||
| Address2: | POBOX 365067 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009365067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877580640 | ||||||||
| FaxNumber: | 7877581327 | ||||||||
| Practice Location | |||||||||
| Address1: | ANESTHESIOLOGY DEPARTMENT UPR SCHOOL OF MEDICINE | ||||||||
| Address2: | MAIN BUILDING SCHOOL OF MEDICINE SUITE 989 | ||||||||
| City: | RIO PIEDRAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877580640 | ||||||||
| FaxNumber: | 7877581327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2007 | ||||||||
| LastUpdateDate: | 01/11/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 17546 | PR | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP3000X | 17546 | PR | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology |
No ID Information.