Individual provider Active NPI

Maria Quintana Blanco, CBHCMS

  • Case Manager/Care Coordinator
  • Lake Worth, FL
National Provider Identifier
1508128752
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2311 10TH Ave N Ste 3
Lake Worth, FL 33461-6605
Phone
(561) 899-3017
Fax
(561) 429-2622
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

2311 10TH Ave N Ste 3
Lake Worth, FL 33461-6605

Mailing address

5414 Garden Ave
West Palm Beach, FL 33405-3516
Phone (561) 227-8844

Other identifiers 1

IdentifierTypeStateIssuer
100079000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge of Care LLC CurrentSince Mar 1, 2026 Accepting new patients
Bridge of Care LLC CurrentSince Aug 8, 2021 Accepting new patients
Vida Community Care Inc CurrentSince Mar 4, 2021 Accepting new patients

Locations

2311 10th Ave N
Ste 3
Lake Worth, FL 33461
Phone (305) 603-7063

11401 SW 40th St
Ste 345
Miami, FL 33165
Phone (305) 603-7063

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1508128752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 GARDEN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053516",
            "telephone_number": "561-227-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N STE 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-899-3017",
            "fax_number": "561-429-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA BLANCO",
        "first_name": "MARIA",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.