Glenn V. Quintana D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6296 Issued in FL

Legal business name

GLENN V. QUINTANA D.C., P.A.

Practice address

9406 S Dixie Hwy
Miami, FL 33156-2934

Phone

(305) 670-9313

Fax

(305) 670-9313

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Vicente Quintana, D.C.NPI 1679627194

Title

President

Phone

(305) 670-9313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Vicente Quintana, DC

  • Chiropractor
  • Miami, FL
  • NPI 1679627194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1447519061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562934",
            "telephone_number": "305-670-9313",
            "fax_number": "305-670-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562934",
            "telephone_number": "305-670-9313",
            "fax_number": "305-670-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN V. QUINTANA D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "VICENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-670-9313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.