Provider Demographics
NPI:1912725532
Name:QUINONES LUZON, VALERIA RUBI (OD)
Entity type:Individual
Prefix:DR
First Name:VALERIA
Middle Name:RUBI
Last Name:QUINONES LUZON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VAL
Other - Middle Name:
Other - Last Name:QUINONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:5109 GILLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4936
Mailing Address - Country:US
Mailing Address - Phone:214-405-0430
Mailing Address - Fax:
Practice Address - Street 1:770 N COIT RD STE 2486
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-6225
Practice Address - Country:US
Practice Address - Phone:972-690-1922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11289T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist