Provider Demographics
NPI:1871637314
Name:QUINONES, INES (BACHIDERATO)
Entity Type:Individual
Prefix:MISS
First Name:INES
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:BACHIDERATO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-737-2542
Mailing Address - Fax:
Practice Address - Street 1:FARMACIA RUIZ BELVIS DE NAGUABO
Practice Address - Street 2:CARR 31 KM 3.8 BARRIO PENA POBRE
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-9726
Practice Address - Country:US
Practice Address - Phone:787-874-3174
Practice Address - Fax:787-874-1030
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist