Provider Demographics
NPI:1013205731
Name:QUIROGA, LUIS HORACIO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:HORACIO
Last Name:QUIROGA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9238
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9238
Mailing Address - Country:US
Mailing Address - Phone:304-293-7480
Mailing Address - Fax:304-293-2556
Practice Address - Street 1:64 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3409
Practice Address - Country:US
Practice Address - Phone:304-293-7480
Practice Address - Fax:304-293-2556
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program