Provider Demographics
NPI:1750427118
Name:QUINONES, JOSEFINA M (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEFINA
Middle Name:M
Last Name:QUINONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 PLAZA TINTILLO
Mailing Address - Street 2:PARQUE DEL RIO
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6074
Mailing Address - Country:US
Mailing Address - Phone:787-763-5468
Mailing Address - Fax:787-763-5468
Practice Address - Street 1:AVE ANA G MENDEZ
Practice Address - Street 2:CENTRO COMERCIAL EL PARAISO L15
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-763-5468
Practice Address - Fax:787-763-5468
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice