Individual
ROBERT OUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
6A ENTRADA DEL JARDIN, SANTA CRUZ, NM 87567
(505) 929-4648
(505) 424-8488
Mailing address
PO BOX 460, SANTA CRUZ, NM 87567-0460
(505) 982-8561
(505) 989-1740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2643
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028404
—
NM
05
—
A1098
—
NM
Enumeration date
01/11/2007
Last updated
11/26/2024
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