Provider Demographics
NPI:1205863388
Name:QUINONES PINA, ROSABEL (MD)
Entity type:Individual
Prefix:DR
First Name:ROSABEL
Middle Name:
Last Name:QUINONES PINA
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:URB COLINAS DE YAUCO CALLE 1 A 8
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:939-644-9358
Mailing Address - Fax:787-836-4554
Practice Address - Street 1:20 CALLE PACHECO S
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3578
Practice Address - Country:US
Practice Address - Phone:787-856-5566
Practice Address - Fax:787-856-5566
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13223208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH44631Medicare UPIN
PR2-0676Medicare ID - Type Unspecified