Provider Demographics
NPI:1619346483
Name:QUINONES, ILAINE (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:MRS
First Name:ILAINE
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 645
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-0645
Mailing Address - Country:US
Mailing Address - Phone:787-556-1718
Mailing Address - Fax:787-874-4796
Practice Address - Street 1:C7 CALLE 1
Practice Address - Street 2:URB. SANTA MARIA
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735
Practice Address - Country:US
Practice Address - Phone:787-556-1718
Practice Address - Fax:787-874-4796
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10321183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician