Provider Demographics
NPI:1962455147
Name:QUINONES, KARINA (MD, CAT)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MD, CAT
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 9138
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9138
Mailing Address - Country:US
Mailing Address - Phone:787-852-3114
Mailing Address - Fax:787-285-5642
Practice Address - Street 1:111 CALLE FONT MARTELO E
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-3114
Practice Address - Fax:787-285-5642
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17835208D00000X
101YA0400X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program