Provider Demographics
NPI:1568587459
Name:QUINONES, MERCEDES ERICKA (MD)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:ERICKA
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW STE 2303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-6723
Mailing Address - Fax:202-865-1888
Practice Address - Street 1:2041 GEORGIA AVE NW STE 2303
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-6723
Practice Address - Fax:202-865-1888
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69752207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5701390 00Medicaid
MD189687ZD3UMedicare PIN