Provider Demographics
NPI:1295358240
Name:QUINONES MORALES, ORESTES (MD)
Entity Type:Individual
Prefix:
First Name:ORESTES
Middle Name:
Last Name:QUINONES MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:33935-4629
Mailing Address - Country:US
Mailing Address - Phone:863-675-2356
Mailing Address - Fax:863-675-2407
Practice Address - Street 1:450 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LABELLE
Practice Address - State:FL
Practice Address - Zip Code:33935-4629
Practice Address - Country:US
Practice Address - Phone:863-675-2356
Practice Address - Fax:863-675-2407
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1427208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice