Provider Demographics
NPI:1689364077
Name:QUINONEZ, ALEX AMILCAR (NREMT)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:AMILCAR
Last Name:QUINONEZ
Suffix:
Gender:M
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 COUNTY ROAD 2704
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-6141
Mailing Address - Country:US
Mailing Address - Phone:214-579-2724
Mailing Address - Fax:
Practice Address - Street 1:9925 GILLESPIE DR # 4100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-7534
Practice Address - Country:US
Practice Address - Phone:214-891-5460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E3509717146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic