Doctor Name: | DR. CONSUELO ENID QUESADA |
NPI Number: | 1912065145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 14951 |
Business Practice Address: | 142 Calle Jose I Quinton Coamo, PR - 007693037 |
Business Phone Number: | 7878251771 |
Business Fax Number: | |
Mailing Address: | 142 Jose I. Quinton, COAMO |
State: | PR |
Postal Code: | 007693037 |
Phone Number: | 7878251771 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |