Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Victor Robert Quintanilla IV, PA

Individual provider Surgical Physician Assistant · NPI 1114053204

Mr. Victor Robert Quintanilla IV, PA is a Physician Assistant in New Haven, Connecticut. Graduated from Yale University School of Medicine in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Trained at
Yale University School of Medicine
Licensed in
CT
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1450 Chapel St Dept OF Surgery
New Haven, CT 06511-4405
Phone: (203) 789-3501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001468 (CT)

Record details

NPI number1114053204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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