Eddy Eloy Quintana Cruz, CBHCM100190

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3621 SW 107TH Ave
Miami, FL 33165-3636

Phone

(305) 302-1335

NPI assigned

Jun 10, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003475435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19739 SW 123RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774969",
            "telephone_number": "305-302-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653636",
            "telephone_number": "305-302-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA CRUZ",
        "first_name": "EDDY",
        "middle_name": "ELOY",
        "name_prefix": "Mr.",
        "credential": "CBHCM100190",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elo_0326@yahoo.com",
            "affiliation": "N",
            "address_1": "3621 SW 107th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331653636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "equintana@serenitympb.com",
            "affiliation": "Y",
            "affiliationName": "miami personal behavioral llc",
            "address_1": "3621 SW 107th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331653636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis J Quintana Carballea
• Lis Quintana Ceijas
• Alejandro Miguel Quintana Chavez
• Yulianela Quintana Chavez
• Galia Quintana Collazo
• Liepzig Quintana Davila
• Miriam Quintana de la Cruz
• Aleymis Quintana Fernandez
• Dixan Quintana Gomez
• Yainet Quintana Gosende

• Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.