Provider Demographics
NPI:1760111496
Name:DELEON-QUINONES, INEZ MERCEDES
Entity Type:Individual
Prefix:
First Name:INEZ
Middle Name:MERCEDES
Last Name:DELEON-QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:INEZ
Other - Middle Name:MERCEDES
Other - Last Name:DELEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41641 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1264
Mailing Address - Country:US
Mailing Address - Phone:440-324-7406
Mailing Address - Fax:
Practice Address - Street 1:41641 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1264
Practice Address - Country:US
Practice Address - Phone:440-324-7406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician