Provider Demographics
NPI:1306835392
Name:QUINONES- FERRER, HIRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRAM
Middle Name:
Last Name:QUINONES- FERRER
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 1:8024 CALLE CONCORDIA
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1510
Mailing Address - Country:US
Mailing Address - Phone:787-842-2040
Mailing Address - Fax:787-841-6886
Practice Address - Street 1:8024 CALLE CONCORDIA
Practice Address - Street 2:SUITE 200
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1510
Practice Address - Country:US
Practice Address - Phone:787-842-2040
Practice Address - Fax:787-841-6886
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9395207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E10152Medicare UPIN
PR0081533Medicare PIN