Provider Demographics
NPI:1306530456
Name:QUIROZ, ABID SAIB
Entity type:Individual
Prefix:
First Name:ABID
Middle Name:SAIB
Last Name:QUIROZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 SW 127TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1406
Mailing Address - Country:US
Mailing Address - Phone:305-753-1579
Mailing Address - Fax:305-235-4443
Practice Address - Street 1:15601 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1406
Practice Address - Country:US
Practice Address - Phone:305-753-1579
Practice Address - Fax:305-235-4443
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO6556156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician