Active NPI
Marilu Quintero
- Pharmacist
- Hialeah, FL
National Provider Identifier
1760195812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66436
- Practice address
- 855 E 8TH Ave
Hialeah, FL 33010-4615 - Phone
- (786) 316-7717
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Pharmacist | 183500000X | PS66436 | FL | Primary |
Addresses
Primary practice location
855 E 8TH Ave
Hialeah, FL 33010-4615
Mailing address
4400 SW 141St Ave
Miramar, FL 33027-3063
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66436 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1760195812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 SW 141ST AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 E 8TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330104615",
"telephone_number": "786-316-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "MARILU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.