Provider Demographics
NPI:1801891783
Name:QUINONES, GUILLERMO (DMD)
Entity type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:
Last Name:QUINONES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA SILVESTRE ER95 ENTRERIOS
Mailing Address - Street 2:ER95
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-286-1644
Mailing Address - Fax:787-286-1644
Practice Address - Street 1:HOSPITAL SAN JUAN BAUTISTA-CLINICAS EXTERNAS
Practice Address - Street 2:EXPRESO LUIS A. FERRE -SALIDA#21
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00915
Practice Address - Country:US
Practice Address - Phone:787-286-1644
Practice Address - Fax:787-286-1644
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR24091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice