Provider Demographics
NPI:1013959154
Name:GERENA-QUILES, MILAGROS TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:TERESA
Last Name:GERENA-QUILES
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:HC-4 BOX 18698
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-8824
Mailing Address - Country:US
Mailing Address - Phone:787-319-6712
Mailing Address - Fax:
Practice Address - Street 1:CARR. 189 RAMAL 933 INTERIOR 0.9
Practice Address - Street 2:BARRIO MAMEY II
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-8824
Practice Address - Country:US
Practice Address - Phone:787-319-6712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9838208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice