Individual
MARIO I QUIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16250 NW 57TH AVE, MIAMI LAKES, FL 33014-6711
(786) 442-2136
(305) 823-0914
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 821-8611
(305) 827-1753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME59718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023688100
—
FL
Enumeration date
10/18/2005
Last updated
06/09/2022
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