| Doctor Name: | DAYSI MARLENE QUINTANILLA |
| NPI Number: | 1174638720 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNNP |
| License Number: | ARNP 2950782 |
| Business Practice Address: | 5190 Nw 167th St Ste 109 Miami Gardens, FL - 330146328 |
| Business Phone Number: | 3056204929 |
| Business Fax Number: | 3056204954 |
| Mailing Address: | 11602 Nw 57th Ave, HIALEAH |
| State: | FL |
| Postal Code: | 330126621 |
| Phone Number: | 3056204929 |
| Fax Number: | 3056204954 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | ARNP 2950782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |