| Luis E. Quinones, Md, Pa | |
|
12058 San Jose Blvd Suite 903 Jacksonville FL 32223-1842 | |
| (904) 886-0361 | |
| (904) 886-0382 |
| Full Name | Luis E. Quinones, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 12058 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Luis E Quinones (OWNER) |
| Authorized Official Contact | 9048860361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E. Quinones, Md, Pa 12058 San Jose Blvd Suite 903 Jacksonville FL 32223-1842 Ph: (904) 886-0361 | Luis E. Quinones, Md, Pa 12058 San Jose Blvd Suite 903 Jacksonville FL 32223-1842 Ph: (904) 886-0361 |
| NPI Number | 1356455000 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356455000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME60608 (Florida) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME 60608 (Florida) | Primary |
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