Provider Demographics
NPI:1598312373
Name:QUINONES, KARINA
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 MCCOMBS ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-7424
Mailing Address - Country:US
Mailing Address - Phone:915-249-7875
Mailing Address - Fax:
Practice Address - Street 1:9220 MCCOMBS ST STE 3
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-7424
Practice Address - Country:US
Practice Address - Phone:915-249-7875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171R00000X, 344600000X, 347C00000X
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No171R00000XOther Service ProvidersInterpreter
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle