Provider Demographics
NPI:1326337189
Name:QUINONES, SYLVETTE
Entity Type:Individual
Prefix:MRS
First Name:SYLVETTE
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 895
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0895
Mailing Address - Country:US
Mailing Address - Phone:787-560-5000
Mailing Address - Fax:
Practice Address - Street 1:CALLE VISTA LINDA C-16
Practice Address - Street 2:URB. VISTAS DE SABANA GRANDE
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-0895
Practice Address - Country:US
Practice Address - Phone:787-560-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4296183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician