Basic Information
Provider Information
NPI: 1003001942
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUINTERO
FirstName: MARIA
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential: M.S., CCC/SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2805 FOUNTAIN PLAZA BLVD
Address2:  
City: EDINBURG
State: TX
PostalCode: 785398031
CountryCode: US
TelephoneNumber: 9563162224
FaxNumber: 9563160445
Practice Location
Address1: 2715 W TRENTON RD
Address2:  
City: EDINBURG
State: TX
PostalCode: 785393433
CountryCode: US
TelephoneNumber: 9566831155
FaxNumber: 9566831188
Other Information
ProviderEnumerationDate: 09/13/2007
LastUpdateDate: 10/01/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X102624TXY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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