Provider Demographics
NPI:1427475748
Name:QUINONES DE JESUS, XAVIER HIRAM (MD)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:HIRAM
Last Name:QUINONES DE JESUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8024 CALLE CONCORDIA STE 200
Mailing Address - Street 2:SANTA MARIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-842-2040
Mailing Address - Fax:787-842-2040
Practice Address - Street 1:550 CARR 128 STE 106
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4435
Practice Address - Country:US
Practice Address - Phone:787-267-7829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19475207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology