Individual ProviderSusan Jean QuintanaCase Manager/Care CoordinatorOther Service ProvidersPractice Address2052 Galisteo St, Santa Fe, NM 87505-2100(505) 470-9196PECOS EnrollmentBased on the most recent information from CMS, provider Susan Jean Quintana does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1194498154Provider TypeIndividualFull NameQuintana, Susan JeanGenderFemaleSole ProprietorNoEnumeration Date7/27/2021Last Updated8/3/2021Contact InformationPractice LocationPractice Address2052 Galisteo St, Santa Fe, NM 87505-2100Phone(505) 470-9196FaxUnlisted FaxMailing LocationMailing Address2052 Galisteo St, Santa Fe, NM 87505-2100Phone(505) 470-9196FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer