Provider Demographics
NPI:1710906201
Name:QUILES-GIOVANNETTI, FLORECITA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORECITA
Middle Name:
Last Name:QUILES-GIOVANNETTI
Suffix:
Gender:F
Credentials:MD
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 2020
Mailing Address - Street 2:PMB 202
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-2020
Mailing Address - Country:US
Mailing Address - Phone:787-312-9080
Mailing Address - Fax:
Practice Address - Street 1:410 CALLE MENDEZ VIGO
Practice Address - Street 2:203 SUITE
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4800
Practice Address - Country:US
Practice Address - Phone:787-312-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR219055OtherPREFERRED HEALTH
PR3049OtherAPS - HUMANA Y MMM
PR2241317OtherCIGNA
PR552765OtherF H C - PR
PR100899OtherLA CRUZ AZUL DE PR
PR57312OtherTRIPLE S
PRA300OtherFIRST MEDICAL
PRQ54050Medicare UPIN
PR3049OtherAPS - HUMANA Y MMM