Provider Demographics
NPI:1508044710
Name:PAIN MANAGEMENT CONSULTANTS APRIL QUINONES MD PA
Entity Type:Organization
Organization Name:PAIN MANAGEMENT CONSULTANTS APRIL QUINONES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-737-1325
Mailing Address - Street 1:2300 S CONGRESS AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7400
Mailing Address - Country:US
Mailing Address - Phone:561-737-1325
Mailing Address - Fax:561-737-4911
Practice Address - Street 1:2300 S CONGRESS AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7400
Practice Address - Country:US
Practice Address - Phone:561-737-1325
Practice Address - Fax:561-737-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
24388Medicare PIN