OrganizationQuintero Medical Center CorpClinic/CenterAmbulatory Health Care FacilitiesPractice Address4646 W 4th Ave, Hialeah, FL 33012-3907(305) 822-8285PECOS EnrollmentBased on the most recent information from CMS, provider Quintero Medical Center Corp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1629082615Provider TypeOrganizationFull NameQuintero Medical Center CorpSubpartNoEnumeration Date7/28/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address4646 W 4th Ave, Hialeah, FL 33012-3907Phone(305) 822-8285Fax(305) 822-8286Mailing LocationMailing Address4646 W 4th Ave, Hialeah, FL 33012-3907Phone(305) 822-8285Fax(305) 822-8286Authorized OfficialNameQuintero, Omar (President)Phone(305) 822-8285Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense594438-5FloridaProvider IdentifiersIDDescriptionIssuerID8011-4849DescriptionOtherIssuerCITY OF HIALEAH OCCUPATIOFlorida