Provider Demographics
NPI:1114994704
Name:QUINONES, CESAR R (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:R
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:PMD 132, CAKKPO BOX 4985
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4985
Mailing Address - Country:US
Mailing Address - Phone:787-745-1910
Mailing Address - Fax:787-743-8974
Practice Address - Street 1:STREET LOPEZ FLORES #5, SUITE 1 URB. PARADIS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-745-1910
Practice Address - Fax:787-743-8974
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0083308Medicare UPIN
PR0083308Medicare ID - Type UnspecifiedPROVIDER #