Provider Demographics
NPI:1164567434
Name:QUINONES, MARIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:46 POCAHONTAS DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1302
Mailing Address - Country:US
Mailing Address - Phone:860-803-5859
Mailing Address - Fax:
Practice Address - Street 1:1007 FARMINGTON AVE STE 3A
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2107
Practice Address - Country:US
Practice Address - Phone:860-570-4882
Practice Address - Fax:860-570-4885
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00144164Medicaid