Angel Luis Quintana in Miami - Developmental Disabilities
Angel Luis Quintana - NPI 1568644516
Angel Luis Quintana is a Developmental Disabilities in Miami, Florida. Angel Luis Quintana practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Angel Luis Quintana is 1568644516. The last update date is 2018-11-07.
Angel Luis Quintana's current location address is 12821 Sw 184th Ter, Miami, Florida. You can contact this provider via phone number 3057752784. The mailing address for Angel Luis Quintana is 12821 Sw 184th Ter, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angel Luis Quintana |
|---|---|
| Address | 12821 Sw 184th Ter, Miami, Florida |
| Phone Number | 3057752784 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568644516 |
|---|---|
| Provider Enumeration Date | 2007-12-02 |
| Last Updated Date | 2018-11-07 |
Provider Mailing Address Detail
| Address | 12821 Sw 184th Ter |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331772507 |
| Phone Number | 3057752784 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
|
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CBHCM101908 | FL | FLORIDA CERTIFICATION BOARD |
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What is the unique 10-digit identification code issued to Angel Luis Quintana by the Centers for Medicare & Medicaid Services?
The Angel Luis Quintana has been assigned the NPI (National Provider Identifier) 1568644516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Angel Luis Quintana's facilities are situated?
The facilities of Angel Luis Quintana are physically located at the following address: 12821 Sw 184Th Ter, Miami, FL, 331772507.
What is Angel Luis Quintana's specialized field of practice, and what is the corresponding taxonomy classification code?
The Angel Luis Quintana's area of specialization is Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 261Qd1600X.
On what date did the Angel Luis Quintana receive the assignment of its 1568644516 from the Centers for Medicare & Medicaid Services?
The Angel Luis Quintana was issued its 1568644516 by the Centers for Medicare & Medicaid Services on 2007-12-02.
As of what date were the Angel Luis Quintana's details last updated?
The information pertaining to the Angel Luis Quintana, including its address, specialty, and other details, was most recently updated on 2018-11-07.