Provider Demographics
NPI:1396541934
Name:QUEVEDO, TINKER
Entity type:Individual
Prefix:
First Name:TINKER
Middle Name:
Last Name:QUEVEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TINKER
Other - Middle Name:JOSE
Other - Last Name:QUEVEDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:502 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6720
Mailing Address - Country:US
Mailing Address - Phone:786-354-1753
Mailing Address - Fax:
Practice Address - Street 1:502 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6720
Practice Address - Country:US
Practice Address - Phone:786-354-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company