Provider Demographics
NPI:1649388976
Name:QUINONEZ, MARIE R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:R
Last Name:QUINONEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:448 SOUTH ALAFAYA TRAIL
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828
Mailing Address - Country:US
Mailing Address - Phone:407-275-5700
Mailing Address - Fax:407-381-5802
Practice Address - Street 1:448 S ALAFAYA TRL STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8998
Practice Address - Country:US
Practice Address - Phone:407-275-5700
Practice Address - Fax:407-381-5802
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME70632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3185TOtherBCBS PROVIDER NUMBER