Provider Demographics
NPI:1508351156
Name:QUINTANA-PADRON, CLAUDIA
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:QUINTANA-PADRON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:QUINTANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22520 SW 134TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-4313
Mailing Address - Country:US
Mailing Address - Phone:786-261-4334
Mailing Address - Fax:
Practice Address - Street 1:22520 SW 134TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-4313
Practice Address - Country:US
Practice Address - Phone:786-261-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA21624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist