Healthcare Provider Details

I. General information

NPI: 1326530759
Provider Name (Legal Business Name): NATALIA M QUINONES HERRERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 NW 95TH ST STE 303
MIAMI FL
33150-2066
US

IV. Provider business mailing address

1190 NW 95TH ST STE 303
MIAMI FL
33150-2066
US

V. Phone/Fax

Practice location:
  • Phone: 904-503-1065
  • Fax:
Mailing address:
  • Phone: 904-503-1065
  • Fax: 904-374-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME164711
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: