Provider Demographics
NPI:1396013314
Name:QUINTANA, MARIA G (MS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-2937
Mailing Address - Country:US
Mailing Address - Phone:305-298-1432
Mailing Address - Fax:305-233-9156
Practice Address - Street 1:12350 SW 132ND CT STE 109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6458
Practice Address - Country:US
Practice Address - Phone:305-298-1432
Practice Address - Fax:305-233-9156
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist