Provider Demographics
NPI:1407071947
Name:QUINONES, SHEILA I (PSYD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:I
Last Name:QUINONES
Suffix:
Gender:F
Credentials:PSYD
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 632
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0632
Mailing Address - Country:US
Mailing Address - Phone:787-892-0461
Mailing Address - Fax:
Practice Address - Street 1:CALLE K # 9
Practice Address - Street 2:URB RIVERSIDE
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-0632
Practice Address - Country:US
Practice Address - Phone:787-892-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2786103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist