Provider Demographics
NPI:1013628775
Name:QUINONES, ANA M
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION LAGOS DE PLATA
Mailing Address - Street 2:CALLE 9 J52
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3200
Mailing Address - Country:US
Mailing Address - Phone:787-765-2929
Mailing Address - Fax:787-763-1093
Practice Address - Street 1:URBANIZACION LAGOS DE PLATA
Practice Address - Street 2:CALLE 9 J52
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3200
Practice Address - Country:US
Practice Address - Phone:787-765-2929
Practice Address - Fax:787-763-1093
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR102821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical