Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 11008479 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11008479 | FL |
NPI | 1013527001 |
---|---|
Provider Name | Juliette Quintana |
First Address | Miami, FL 33173-3910 |
Second Address | Miami, FL 33173-3910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2020 |
Last Update Date | 26/10/2020 |