Provider Demographics
NPI:1447963772
Name:QUINTANA, KATRINA MARIE (PA)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3541 ALTIS CIR N UNIT 1206
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6075
Mailing Address - Country:US
Mailing Address - Phone:786-859-3326
Mailing Address - Fax:
Practice Address - Street 1:1220 17TH ST STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2454
Practice Address - Country:US
Practice Address - Phone:305-367-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant