Provider Demographics
NPI:1366166654
Name:MARIN QUINTERO, YURI LILIANA
Entity type:Individual
Prefix:
First Name:YURI
Middle Name:LILIANA
Last Name:MARIN QUINTERO
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 1:4114 NW 88TH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1824
Mailing Address - Country:US
Mailing Address - Phone:267-584-4848
Mailing Address - Fax:
Practice Address - Street 1:4114 NW 88TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1824
Practice Address - Country:US
Practice Address - Phone:267-584-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician