Most Relevant Information
Provider Data
| NPI Number: | 1003535956 |
| Provider Name: | MAYELIN LUIS QUINTANA |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11021286 |
Most Important Dates
| Enumeration Date: | 08/24/2022 |
| Last Updated: | 08/24/2022 |
Provider Practice Location
14452 SW 49TH ST
MIAMI
FL
331755048
Practice Location Phone/Fax
| Phone: | 7864029525 |
| Fax: |
Provider Mailing Location
14452 SW 49TH ST
MIAMI
FL
331755048
Provider Mailing Phone/Fax
| Phone: | 7864029525 |
| Fax: |