Provider Demographics
NPI:1417138488
Name:QUIRANTES, MARIA L (ORTHOTIC FITTER)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:QUIRANTES
Suffix:
Gender:F
Credentials:ORTHOTIC FITTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3316
Mailing Address - Country:US
Mailing Address - Phone:305-261-1382
Mailing Address - Fax:305-261-6047
Practice Address - Street 1:5841 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3316
Practice Address - Country:US
Practice Address - Phone:305-261-1382
Practice Address - Fax:305-261-6047
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLORF 100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLORF 100OtherSTATE OF FL DPT OF HEALTH