Doctor Name: | DR. WALESCA QUINONES |
NPI Number: | 1780824771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17485 |
Business Practice Address: | 17 Calle El Rey Ur El Real San German, PR - 006834121 |
Business Phone Number: | 7877180844 |
Business Fax Number: | 7878731074 |
Mailing Address: | 17 Calle El Rey, Ur El Real SAN GERMAN |
State: | PR |
Postal Code: | 006834121 |
Phone Number: | 7877180844 |
Fax Number: | 7878731074 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |