Provider Demographics
NPI:1053306779
Name:QUINONES, ARMANDO EDGARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:EDGARDO
Last Name:QUINONES
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 1:1045 CENTRAL PARKWAY NORTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5024
Mailing Address - Country:US
Mailing Address - Phone:210-541-4500
Mailing Address - Fax:210-541-4508
Practice Address - Street 1:414 NAVARRO ST
Practice Address - Street 2:SUITE 809
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2516
Practice Address - Country:US
Practice Address - Phone:210-272-1741
Practice Address - Fax:210-272-1747
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3790208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1961856-01Medicaid
TX1961856-02Medicaid
TXP00631382OtherRAILROAD MEDICARE
TX1961856-02Medicaid
TX1961856-01Medicaid
TXP00631382OtherRAILROAD MEDICARE