Provider Demographics
NPI:1003006552
Name:QUINONEZ, ALNER MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALNER
Middle Name:MIGUEL
Last Name:QUINONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N LANIER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MEADE
Mailing Address - State:FL
Mailing Address - Zip Code:33841-2918
Mailing Address - Country:US
Mailing Address - Phone:863-285-7171
Mailing Address - Fax:863-285-6701
Practice Address - Street 1:25 N LANIER AVE
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:FL
Practice Address - Zip Code:33841-2918
Practice Address - Country:US
Practice Address - Phone:863-285-7171
Practice Address - Fax:863-285-6701
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine