Provider Demographics
NPI:1164606141
Name:QUINONES, MARICARMEN (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARICARMEN
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 VALLE ESCONDIDO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-477-1118
Mailing Address - Fax:787-273-6970
Practice Address - Street 1:864 AVE SAN PATRICIO
Practice Address - Street 2:URB. LAS LOMAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1308
Practice Address - Country:US
Practice Address - Phone:787-792-3203
Practice Address - Fax:787-273-6970
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16984208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice