Individual provider Active NPI

Raiza Lorenzo Quintana, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1972225605
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116343 Issued in FL
Practice address
3200 SW 60TH CT Ste 203
Miami, FL 33155-4070
Phone
(305) 662-8380
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116343 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 203
Miami, FL 33155-4070

Mailing address

10315 SW 149TH Ter
Miami, FL 33176-7761
Phone (305) 662-8380

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116343FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: raiza.lorenzo.1@27004.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1972225605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 SW 149TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767761",
            "telephone_number": "305-662-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554070",
            "telephone_number": "305-662-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO QUINTANA",
        "first_name": "RAIZA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.