Provider Demographics
NPI:1790999803
Name:QUINONES, SONIA IVETTE (DPM)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:IVETTE
Last Name:QUINONES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C-9 MARGINAL ACUARELA
Mailing Address - Street 2:URB HIGHLAND GARDENS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-790-1720
Mailing Address - Fax:
Practice Address - Street 1:C-9 MARGINAL ACUARELA
Practice Address - Street 2:URB HIGHLAND GARDENS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-790-1720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0079213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR48083Medicare ID - Type Unspecified
PRU65497Medicare UPIN