Provider Demographics
NPI:1306029210
Name:QUINONES, EMETERIO A (MD)
Entity Type:Individual
Prefix:
First Name:EMETERIO
Middle Name:A
Last Name:QUINONES
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 1:1003 AVE EMERITO ESTRADA RIVERA
Mailing Address - Street 2:SUITE #6 ALTOS
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-3014
Mailing Address - Country:US
Mailing Address - Phone:787-280-6027
Mailing Address - Fax:787-280-6027
Practice Address - Street 1:1003 AVE EMERITO ESTRADA RIVERA
Practice Address - Street 2:SUITE 6 ALTOS
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-3014
Practice Address - Country:US
Practice Address - Phone:787-280-6027
Practice Address - Fax:787-280-6027
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16985208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0027832Medicare UPIN