Basic Information
Provider Information
NPI: 1750312229
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUINTERO-DEL-RIO
FirstName: ANA
MiddleName: I
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9066312
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009066312
CountryCode: US
TelephoneNumber: 7877261113
FaxNumber:  
Practice Location
Address1: 252 CALLE CONVENTO
Address2:  
City: SANTURCE
State: PR
PostalCode: 009123207
CountryCode: US
TelephoneNumber: 7877261113
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0216X10735PRY Allopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
2080P0216X20830OKN Allopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology

No ID Information.


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