Provider Demographics
NPI:1568716553
Name:QUINONES, JAIME AMARO JR (LMT)
Entity Type:Individual
Prefix:MR
First Name:JAIME
Middle Name:AMARO
Last Name:QUINONES
Suffix:JR
Gender:M
Credentials:LMT
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Mailing Address - Street 1:485 OAKDALE RD NE
Mailing Address - Street 2:APT 10-C
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2058
Mailing Address - Country:US
Mailing Address - Phone:404-992-0462
Mailing Address - Fax:
Practice Address - Street 1:485 OAKDALE RD NE
Practice Address - Street 2:APT 10-C
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2058
Practice Address - Country:US
Practice Address - Phone:404-992-0462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAMT006034225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist