Provider Demographics
NPI:1417136748
Name:QUINONES, ERIKA (PT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-14 CALLE 31
Mailing Address - Street 2:UR.VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5756
Mailing Address - Country:US
Mailing Address - Phone:787-752-1439
Mailing Address - Fax:
Practice Address - Street 1:4-14 CALLE 31
Practice Address - Street 2:UR.VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5756
Practice Address - Country:US
Practice Address - Phone:787-752-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist