Provider Demographics
NPI:1881660686
Name:QUINONES, MANUEL M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:M
Last Name:QUINONES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:11820 BANDERA RD STE 102
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4637
Practice Address - Country:US
Practice Address - Phone:210-477-7180
Practice Address - Fax:210-736-7072
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2019-10-22
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Provider Licenses
StateLicense IDTaxonomies
TXG3712207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C20746Medicare UPIN