| Doctor Name: | MR. ELVIN OSCAR QUIDGLEY |
| NPI Number: | 1114120664 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 1572 |
| Business Practice Address: | Teniente Cesar Gonzalez 1106 Villa Nevarez Rio Piedras, PR - 00928 |
| Business Phone Number: | 7877588019 |
| Business Fax Number: | |
| Mailing Address: | Hc 1 Box 2465, Mediania Baja LOIZA |
| State: | PR |
| Postal Code: | 007729704 |
| Phone Number: | 7878765663 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 1572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |