Provider Demographics
NPI:1659266385
Name:QUINONEZ-TORRES, INGRID (PA-C)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:QUINONEZ-TORRES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N SHINE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2152
Mailing Address - Country:US
Mailing Address - Phone:407-454-2138
Mailing Address - Fax:
Practice Address - Street 1:1000 W BROADWAY ST STE 150
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9239
Practice Address - Country:US
Practice Address - Phone:877-876-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant