Individual
MARIA L QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11880 SW 40TH ST, SUITE 113, MIAMI, FL 33175-3584
(305) 221-2728
(305) 221-2305
Mailing address
11880 SW 40TH ST, SUITE 113, MIAMI, FL 33175-3584
(305) 221-2728
(305) 221-2305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271985100
—
FL
01
—
ME90688
STATE LICENSE NUMBER
FL
Enumeration date
08/01/2006
Last updated
01/23/2012
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