Provider Demographics
NPI:1841738291
Name:PABLOS QUILES, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:PABLOS QUILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5004 CALLE AHLELI
Mailing Address - Street 2:URB BUENAVENTURA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1272
Mailing Address - Country:US
Mailing Address - Phone:787-718-0123
Mailing Address - Fax:
Practice Address - Street 1:307 CALLE DE DIEGO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3244
Practice Address - Country:US
Practice Address - Phone:787-519-5528
Practice Address - Fax:787-652-4805
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR19545207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice