Provider Demographics
NPI:1588821243
Name:VELASCO QUINTERO, DANIA (LICENSE MENTAL HEALT)
Entity Type:Individual
Prefix:MS
First Name:DANIA
Middle Name:
Last Name:VELASCO QUINTERO
Suffix:
Gender:F
Credentials:LICENSE MENTAL HEALT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10651 NORTH KENDALL DRIVE SUITE 120
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1573
Mailing Address - Country:US
Mailing Address - Phone:786-963-9087
Mailing Address - Fax:786-963-9093
Practice Address - Street 1:10651 NORTH KENDALL DRIVE SUITE 120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1573
Practice Address - Country:US
Practice Address - Phone:786-963-9087
Practice Address - Fax:786-963-9093
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health