Provider Demographics
NPI:1790714327
Name:PEREZ QUINONES, VICTOR L (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:L
Last Name:PEREZ QUINONES
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:DUKE EYE CENTER DUMC3802 2351 ERWIN ROAD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-5769
Mailing Address - Fax:919-681-7661
Practice Address - Street 1:DUKE EYE CENTER DUMC3802 2351 ERWIN ROAD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-5769
Practice Address - Fax:919-681-7661
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97293207W00000X
OH35081389P207W00000X
NC2017-02076207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2017-02076Medicaid
OH2343593Medicaid