Provider Demographics
NPI:1629142146
Name:QUINONES, ROSA YOLANDA
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:YOLANDA
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:PO BOX 370912
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79937
Mailing Address - Country:US
Mailing Address - Phone:915-313-4503
Mailing Address - Fax:
Practice Address - Street 1:2109 WHITCOMB
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-313-4503
Practice Address - Fax:915-313-4503
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide