Provider Demographics
NPI:1811950710
Name:VERA QUINONES, JORGE (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:
Last Name:VERA QUINONES
Suffix:
Gender:M
Credentials:MD
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 6
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0006
Mailing Address - Country:US
Mailing Address - Phone:787-818-1266
Mailing Address - Fax:787-877-3813
Practice Address - Street 1:125 AVE LA MOCA # KM3.0
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4001
Practice Address - Country:US
Practice Address - Phone:787-818-1266
Practice Address - Fax:787-877-3813
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13490207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81391Medicare ID - Type UnspecifiedPROVIDER