Doctor Name: | BRENDA LIZ QUINTANA |
NPI Number: | 1891876041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 16073 |
Business Practice Address: | Carr110 Km 6.2 Plaza San Antonio Aguadilla, PR - 00690 |
Business Phone Number: | 7878824762 |
Business Fax Number: | |
Mailing Address: | Pmb 87 Pobox 60401, AGUADILLA |
State: | PR |
Postal Code: | 00605 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |