Provider Demographics
NPI:1750324133
Name:QUINONES-FELICIANO, DORIS E (RPT)
Entity Type:Individual
Prefix:MISS
First Name:DORIS
Middle Name:E
Last Name:QUINONES-FELICIANO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB JARDIANES DEL CARIBE 19 ST
Mailing Address - Street 2:#120
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-4438
Mailing Address - Country:US
Mailing Address - Phone:787-812-3030
Mailing Address - Fax:
Practice Address - Street 1:PASEIO DEL VIETERANO
Practice Address - Street 2:1010 PONCE OUTPATIENT CLINIC PASEIO
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2001
Practice Address - Country:US
Practice Address - Phone:787-812-3030
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist