Provider Demographics
NPI:1881688778
Name:SIERRA QUINONES, YOLANDA (MD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:SIERRA QUINONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51443
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1443
Mailing Address - Country:US
Mailing Address - Phone:787-795-6320
Mailing Address - Fax:787-261-1501
Practice Address - Street 1:Y35 BLVD MONROIG
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4706
Practice Address - Country:US
Practice Address - Phone:787-795-6320
Practice Address - Fax:787-261-1501
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR97976Medicaid
PR500101EOtherMEDICARE Y MUCHO MAS
PR068272OtherLA CRUZ AZUL DE P.R.
PR6320022OtherHUMANA
PR97976OtherTRIPLE SSS
PR97976Medicaid
PR97976OtherTRIPLE SSS