Provider Demographics
NPI:1174299010
Name:QUINONES, LOURDES J (ND)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:J
Last Name:QUINONES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 AVE JESUS T PINERO APT 1812
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-1912
Mailing Address - Country:US
Mailing Address - Phone:939-940-8323
Mailing Address - Fax:
Practice Address - Street 1:920 AVE JESUS T PINERO APT 1812
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1912
Practice Address - Country:US
Practice Address - Phone:939-940-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR74175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty