Quintana Martinez, Mario Ignacio

Quintana Martinez, Mario Ignacio is an sole proprietor health care provider with primary practice located at 8504 Nw 103Rd St , Hialeah Gardens FL 33016-4870. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Quintana Martinez, Mario Ignacio can be contacted via phone (786) 420-5111.

Contact Information

Primary practice address
8504 Nw 103Rd St Hialeah Gardens FL 33016-4870
Phone: (786) 420-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11006342 Florida

Profile Details

NPI number 1104441161
LBN Legal business name Quintana Martinez, Mario Ignacio
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2020
Last updated Jul 14th, 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 1104441161 NPPES
Florida Other Q535549622711 DRIVERS LICENSE

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