Provider Demographics
NPI:1508962275
Name:HERNANDEZ DE QUINONES, LEONOR CRISTINA (DDS)
Entity type:Individual
Prefix:DR
First Name:LEONOR
Middle Name:CRISTINA
Last Name:HERNANDEZ DE QUINONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-0079
Mailing Address - Fax:
Practice Address - Street 1:177 W EXCHANGE ST # SR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1706
Practice Address - Country:US
Practice Address - Phone:330-543-0070
Practice Address - Fax:330-543-9060
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300212111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2518912Medicaid