Provider Demographics
NPI:1326113150
Name:QUINONES PARDO, MILDRED DENISE (MD)
Entity Type:Individual
Prefix:
First Name:MILDRED
Middle Name:DENISE
Last Name:QUINONES PARDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ESTANCIAS DEL LAGO
Mailing Address - Street 2:A21
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3362
Mailing Address - Country:US
Mailing Address - Phone:787-403-6214
Mailing Address - Fax:
Practice Address - Street 1:AVE L MUNOZ MARIN
Practice Address - Street 2:HOSPITAL HIMA-CAGUAS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-4081
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11145146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant