Provider Demographics
NPI:1184034498
Name:GUZMAN QUINONES, YARELIS (MD)
Entity Type:Individual
Prefix:
First Name:YARELIS
Middle Name:
Last Name:GUZMAN 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 1:363 N COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5516
Mailing Address - Country:US
Mailing Address - Phone:646-397-7210
Mailing Address - Fax:
Practice Address - Street 1:363 N COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5516
Practice Address - Country:US
Practice Address - Phone:646-397-7210
Practice Address - Fax:443-457-2341
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1334212084P0800X
NY3189572084P0800X
DCMD0475102084P0800X
MDD00878192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry