Provider Demographics
NPI:1538446984
Name:QUINTANA, CESAR O (DC)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:O
Last Name:QUINTANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1512
Mailing Address - Country:US
Mailing Address - Phone:702-384-8432
Mailing Address - Fax:702-382-8191
Practice Address - Street 1:830 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1512
Practice Address - Country:US
Practice Address - Phone:702-384-8432
Practice Address - Fax:702-382-8191
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-10341111N00000X
NVB01159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor