Provider Demographics
NPI:1952411373
Name:QUINIO, AMOR AFUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:AMOR
Middle Name:AFUANG
Last Name:QUINIO
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 1:9710 19TH ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3538
Mailing Address - Country:US
Mailing Address - Phone:909-581-0008
Mailing Address - Fax:909-581-0030
Practice Address - Street 1:9710 19TH ST
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91737-3538
Practice Address - Country:US
Practice Address - Phone:909-581-0008
Practice Address - Fax:909-581-0030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50109208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A501090OtherMEDI-CAL
F94646Medicare UPIN