Provider Demographics
NPI:1336968395
Name:QUINTERO OLIVA, JULIA M
Entity type:Individual
Prefix:
First Name:JULIA M
Middle Name:
Last Name:QUINTERO OLIVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9460 FONTAINEBLEAU BLVD APT 430
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5568
Mailing Address - Country:US
Mailing Address - Phone:210-810-8947
Mailing Address - Fax:
Practice Address - Street 1:9460 FONTAINEBLEAU BLVD APT 430
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5568
Practice Address - Country:US
Practice Address - Phone:210-810-8947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician