Quintana, Angel Luis

Quintana, Angel Luis is an sole proprietor health care provider with primary practice located at 12821 Sw 184Th Ter , Miami FL 33177-2507. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Ambulatory Health Care Facilities / Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Quintana, Angel Luis can be contacted via phone (305) 775-2784.

Contact Information

Primary practice address
12821 Sw 184Th Ter Miami FL 33177-2507
Phone: (305) 775-2784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1568644516
LBN Legal business name Quintana, Angel Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2007
Last updated Nov 7th, 2018 - about 7 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 1568644516 NPPES
Florida Other CBHCM101908 FLORIDA CERTIFICATION BOARD

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