Provider Demographics
NPI:1114780624
Name:QUIJANO TORRES, ALANIS GABRIELA
Entity Type:Individual
Prefix:
First Name:ALANIS
Middle Name:GABRIELA
Last Name:QUIJANO TORRES
Suffix:
Gender:F
Credentials:
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 501
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0501
Mailing Address - Country:US
Mailing Address - Phone:787-618-4654
Mailing Address - Fax:
Practice Address - Street 1:REPARTO METROPOLITANO ST 54SE BUILDING 1122 APT 3
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-618-4654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program