Provider Demographics
NPI:1104380591
Name:QUINTANA RAMIREZ, ELIOENAI
Entity type:Individual
Prefix:
First Name:ELIOENAI
Middle Name:
Last Name:QUINTANA RAMIREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-1710
Mailing Address - Country:US
Mailing Address - Phone:939-256-7914
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO MENONITA DE CAYEY
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00732
Practice Address - Country:US
Practice Address - Phone:939-256-7914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program