Provider Demographics
NPI:1689901266
Name:QUINTERO, LILYANA I (DO)
Entity Type:Individual
Prefix:
First Name:LILYANA
Middle Name:
Last Name:QUINTERO
Suffix:I
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 SW 153RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3378
Mailing Address - Country:US
Mailing Address - Phone:305-691-9780
Mailing Address - Fax:305-693-0354
Practice Address - Street 1:551 E 49TH ST STE 14
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1911
Practice Address - Country:US
Practice Address - Phone:786-953-5070
Practice Address - Fax:786-953-5070
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician