| Quinones Medical Group Llc | |
|
1007 Farmington Ave Suite 3a West Hartford CT 06107 | |
| (860) 570-4882 | |
| (860) 570-4885 |
| Full Name | Quinones Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1007 Farmington Ave, West Hartford, Connecticut |
| Authorized Official Name and Position | Maria E Quinones (OWNER) |
| Authorized Official Contact | 8605704882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinones Medical Group Llc 1007 Farmington Ave Suite 3a West Hartford CT 06107-2133 Ph: (860) 570-4882 | Quinones Medical Group Llc 1007 Farmington Ave Suite 3a West Hartford CT 06107 Ph: (860) 570-4882 |
| NPI Number | 1275654162 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 2860591138 |
|---|---|
| Medicare Enrollment ID | O20070627000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275654162 | NPI | - | NPPES |
| 004269991 | Medicaid | CT | |
| 004269983 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044164 (Connecticut) | Primary |
| 363L00000X | Nurse Practitioner | 002324 (Connecticut) | Secondary |
| Provider Name | Maria Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164567434 PECOS PAC ID: 0941309223 Enrollment ID: I20070913000584 |
Judith M. Mascolo, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 639 Park Rd, Ste 100, West Hartford, CT 06107 Phone: 860-233-4600 Fax: 860-233-4604 | |
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