Provider Demographics
NPI:1235398876
Name:QUINONES, RAQUEL
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LABORATORIO
Other - Middle Name:
Other - Last Name:RQ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:496 CARR 112
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-6043
Mailing Address - Country:US
Mailing Address - Phone:787-872-5942
Mailing Address - Fax:
Practice Address - Street 1:CARR 112 KM 5 3
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-6043
Practice Address - Country:US
Practice Address - Phone:787-872-5942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1147291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory