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GWENDOLYN ANDERE QUINTANA MD
NPI 1497492458
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since May 19, 2022PECOS Enrolled
611 BUTTERFLY RIDGE ST, SAN ANTONIO, TX 78260(210) 379-9479 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2022, May 19, 2022 (2 updates tracked since 2022).

About Gwendolyn Andere Quintana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN ANDERE QUINTANA MD (NPI 1497492458) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497492458
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGWENDOLYN ANDERE QUINTANACredential: MD
Location Address611 BUTTERFLY RIDGE STSan Antonio, TX 78260-8024
Mailing Address611 Butterfly Ridge StSan Antonio, TX 78260-8024 · (210) 379-9479
Phone(210) 379-9479
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 19, 2022
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1497492458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 BUTTERFLY RIDGE ST, San Antonio, TX 78260
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Andere Quintana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345729828
PECOS Enrollment IDI20260204004056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Quintana's NPI number?

The NPI number for Gwendolyn Quintana is 1497492458. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Gwendolyn Quintana located?

Gwendolyn Quintana practices at 611 Butterfly Ridge St, San Antonio, TX 78260. The listed phone number is (210) 379-9479.

What is Gwendolyn Quintana's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gwendolyn Quintana enrolled in Medicare?

Yes. Gwendolyn Quintana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwendolyn Quintana was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.