Munne Quintana, Rafael Antonio

Munne Quintana, Rafael Antonio is an sole proprietor health care provider with primary practice located at 2550 Se Walton Rd , Port St Lucie FL 34952-7168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is his primary health care specialty. Munne Quintana, Rafael Antonio can be contacted via phone (772) 224-8928.

Contact Information

Primary practice address
2550 Se Walton Rd Port St Lucie FL 34952-7168
Phone: (772) 224-8928
Fax: (772) 224-8229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME0071804 Florida
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1841227634
LBN Legal business name Munne Quintana, Rafael Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Feb 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841227634 NPPES
Florida Other ME0071804 STATE LICENSE

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