Individual
MR. EDDY ELOY QUINTANA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM100190
Contact information
Practice address
3621 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 302-1335
Mailing address
19739 SW 123RD AVE, MIAMI, FL 33177-4969
(305) 302-1335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
11/27/2023
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