Provider Demographics
NPI:1649773680
Name:SANCHEZ QUINONES, JESSICA CRISTINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:CRISTINA
Last Name:SANCHEZ QUINONES
Suffix:
Gender:F
Credentials:DMD
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 391 PMB 141
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954
Mailing Address - Country:US
Mailing Address - Phone:787-797-3851
Mailing Address - Fax:
Practice Address - Street 1:SHOPPING PLAZA DEL TOA
Practice Address - Street 2:BO. PINA CARR 829 KM 2.7
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00954
Practice Address - Country:US
Practice Address - Phone:787-799-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33651223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice