Angel Luis Quintana

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

12821 SW 184TH Ter
Miami, FL 33177-2507

Phone

(305) 775-2784

NPI assigned

Dec 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1196553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1568644516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 SW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772507",
            "telephone_number": "305-775-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 SW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772507",
            "telephone_number": "305-775-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-02",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCM101908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merlyn Quintana Yedra
• Claudia Quintana-Padron
• Elsy A Quintana-Salgado, LMT
• Alvaro Quintana
• Amauri Jesus Quintana, ARNP
• Bliss Quintana, PSY.D.
• Christian Alexander Quintana, M.D.
• Danielle Ashley Quintana
• Danilo Quintana, HHA
• Darian Quintana

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.