Provider Demographics
NPI:1235209206
Name:QUINONES, GLADYS E (OTL)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:E
Last Name:QUINONES
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO CINTRON RIVERA A-10 FRANCISCO SEIN APT. 3-B
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2402
Mailing Address - Country:US
Mailing Address - Phone:787-765-0821
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO CINTRON RIVERA A-10 FRANCISCO SEIN APT. 3-B
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2402
Practice Address - Country:US
Practice Address - Phone:787-765-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000519225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist