Provider Demographics
NPI:1457805111
Name:QUINONES, AMANDA (DC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 NOOSENECK HILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1511
Mailing Address - Country:US
Mailing Address - Phone:401-397-9948
Mailing Address - Fax:401-397-6218
Practice Address - Street 1:16 NOOSENECK HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817-1511
Practice Address - Country:US
Practice Address - Phone:401-397-9948
Practice Address - Fax:401-397-6218
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor