Provider Demographics
NPI:1932135027
Name:QUINONES, REBECCA D (MD)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:D
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MD
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 3390
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-834-3838
Mailing Address - Fax:787-832-8822
Practice Address - Street 1:CALLE PERAL #36
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-3838
Practice Address - Fax:787-832-8822
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11048208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F59461Medicare UPIN
83375Medicare ID - Type Unspecified