Provider Demographics
NPI:1437479342
Name:QUINONES, EMI L (OD)
Entity Type:Individual
Prefix:DR
First Name:EMI
Middle Name:L
Last Name:QUINONES
Suffix:
Gender:F
Credentials:OD
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 1225
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1225
Mailing Address - Country:US
Mailing Address - Phone:787-630-6610
Mailing Address - Fax:
Practice Address - Street 1:URB LOS SAUCES CALLE CEIBA #32
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-9651
Practice Address - Country:US
Practice Address - Phone:787-630-6610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR631152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist