Provider Demographics
NPI:1487434791
Name:MAN GING QUINTERO, CINDY ALEXANDRA (ARPN-FNP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:ALEXANDRA
Last Name:MAN GING QUINTERO
Suffix:
Gender:F
Credentials:ARPN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22371 SEA BASS DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4616
Mailing Address - Country:US
Mailing Address - Phone:516-439-1345
Mailing Address - Fax:516-908-4160
Practice Address - Street 1:22371 SEA BASS DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4616
Practice Address - Country:US
Practice Address - Phone:516-439-1345
Practice Address - Fax:516-908-4160
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily