Provider Demographics
NPI:1780451484
Name:QUILES, ANDREA PAOLA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PAOLA
Last Name:QUILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3534 VICTORIA PINES DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7350
Mailing Address - Country:US
Mailing Address - Phone:787-308-7476
Mailing Address - Fax:
Practice Address - Street 1:3534 VICTORIA PINES DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-7350
Practice Address - Country:US
Practice Address - Phone:787-308-7476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program