Provider Demographics
NPI:1184924003
Name:QUINONES TEXIDOR, ANA A
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:A
Last Name:QUINONES TEXIDOR
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:URB CHALETS BRISAS DEL MAR
Mailing Address - Street 2:CALLE VELERO 19
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-448-2540
Mailing Address - Fax:
Practice Address - Street 1:CALLE SANTIAGO PALMER 43
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-0057
Practice Address - Country:US
Practice Address - Phone:787-448-2540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR89951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical