Provider Demographics
NPI:1568162790
Name:QUINONEZ, LAUREN (RN-BSN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:QUINONEZ
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:TUTTI
Other - Middle Name:
Other - Last Name:BAMBINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN-BSN
Mailing Address - Street 1:7303 SW 144TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2962
Mailing Address - Country:US
Mailing Address - Phone:305-978-1570
Mailing Address - Fax:
Practice Address - Street 1:7303 SW 144TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2962
Practice Address - Country:US
Practice Address - Phone:305-978-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9284583163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant