Provider Demographics
NPI:1801489422
Name:QUINTANA, DANILO (HHA)
Entity type:Individual
Prefix:MR
First Name:DANILO
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 SW 116TH CT APT 208
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1707
Mailing Address - Country:US
Mailing Address - Phone:305-563-1912
Mailing Address - Fax:305-274-5320
Practice Address - Street 1:6701 SW 116TH CT APT 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1707
Practice Address - Country:US
Practice Address - Phone:305-563-1912
Practice Address - Fax:305-274-5320
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL372600000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult Companion