Provider Demographics
NPI:1689648834
Name:QUINONES, ROSALIE (DDS)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 AVE ARTERIAL HOSTOS
Mailing Address - Street 2:SUITE 205 GALERIA 1 NUEVO CENTRO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1404
Mailing Address - Country:US
Mailing Address - Phone:787-281-7237
Mailing Address - Fax:787-772-9769
Practice Address - Street 1:201 AVE ARTERIAL HOSTOS
Practice Address - Street 2:SUITE 205 GALERIA 1 NUEVO CENTRO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1404
Practice Address - Country:US
Practice Address - Phone:787-281-7237
Practice Address - Fax:787-772-9769
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0141571223G0001X
PR23991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice