Organization
CENTURION QUINTANA & ASSOCIATES MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN A QUINTANA M.D. (OWNER)
(305) 751-0007
Entity
Organization
Contact information
Practice address
9526 NE 2ND AVE, SUITE 102, MIAMI SHORES, FL 33138-2750
(305) 751-0007
(305) 754-4947
Mailing address
9526 NE 2ND AVE, SUITE 102, MIAMI SHORES, FL 33138-2750
(305) 751-0007
(305) 754-4947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056481800
—
FL
Enumeration date
02/27/2007
Last updated
09/17/2015
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