Provider Demographics
NPI:1659638377
Name:QUINONES IRIZARRY, GUILLERMINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:GUILLERMINA
Middle Name:
Last Name:QUINONES IRIZARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. BRISAS DE GUAYANES
Mailing Address - Street 2:CALLE VERANO B-16
Mailing Address - City:PENUELAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00624
Mailing Address - Country:UM
Mailing Address - Phone:787-613-0720
Mailing Address - Fax:
Practice Address - Street 1:URB. BRISAS DE GUAYANES
Practice Address - Street 2:CALLE VERANO B-16
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-613-0720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0265323747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider