Provider Demographics
NPI:1750729034
Name:QUINONES, NESTOR L
Entity type:Individual
Prefix:
First Name:NESTOR
Middle Name:L
Last Name:QUINONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 CALLE PAULINO PEREZ
Mailing Address - Street 2:BARRIADA BORINQUEN
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-842-1812
Mailing Address - Fax:787-842-1812
Practice Address - Street 1:212 CALLE PAULINO PEREZ
Practice Address - Street 2:BARRIADA BORINQUEN
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-842-1812
Practice Address - Fax:787-842-1812
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR41381483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport