1881818425 NPI number — MS. CELIA STUDART QUINTAS PH.D.

Table of content: MS. CELIA STUDART QUINTAS PH.D. (NPI 1881818425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881818425 NPI number — MS. CELIA STUDART QUINTAS PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUINTAS
Provider First Name:
CELIA
Provider Middle Name:
STUDART
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORENO
Provider Other First Name:
CELIA
Provider Other Middle Name:
QUINTAS
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
.LMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881818425
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
155 SOUTH MIAMI AVENUE, SUITE 400
Provider Second Line Business Mailing Address:
FAMILY RESOURCE CENTER OF SOUTH FLORIDA
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-374-6006
Provider Business Mailing Address Fax Number:
305-374-6112

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 SOUTH MIAMI AVENUE, SUITE 400
Provider Second Line Business Practice Location Address:
FAMILY RESOURCE CENTER OF SOUTH FLORIDA
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-374-6006
Provider Business Practice Location Address Fax Number:
305-374-6112
Provider Enumeration Date:
04/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH9072 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , with the licence number: MT 3038 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)