| Doctor Name: | DR. RICARDO J. QUINTERO-HERENCIA |
| NPI Number: | 1073511432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME 83598 |
| Business Practice Address: | 3426 N Roosevelt Blvd Key West, FL - 330404224 |
| Business Phone Number: | 3052960021 |
| Business Fax Number: | 3052960061 |
| Mailing Address: | 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept. FORT MYERS |
| State: | FL |
| Postal Code: | 339071412 |
| Phone Number: | 2399317342 |
| Fax Number: | 2399317385 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 09/29/2005 |
| NPI Reactivation Date: | 11/01/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | ME 83598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |