Most Relevant Information
Provider Data
| NPI Number: | 1003475435 |
| Provider Name: | EDDY ELOY QUINTANA CRUZ CBHCM100190 |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2019 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
3621 SW 107TH AVE
MIAMI
FL
331653636
Practice Location Phone/Fax
| Phone: | 3053021335 |
| Fax: |
Provider Mailing Location
19739 SW 123RD AVE
MIAMI
FL
331774969
Provider Mailing Phone/Fax
| Phone: | 3053021335 |
| Fax: |