Provider Demographics
NPI:1972852986
Name:QUINONES, GERMAINE (OP)
Entity type:Individual
Prefix:MRS
First Name:GERMAINE
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:OP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8024 CALLE CONCORDIA STE 201
Mailing Address - Street 2:SANTA MARIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1510
Mailing Address - Country:US
Mailing Address - Phone:787-842-0203
Mailing Address - Fax:
Practice Address - Street 1:8024 CALLE CONCORDIA STE 201
Practice Address - Street 2:SANTA MARIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1510
Practice Address - Country:US
Practice Address - Phone:787-842-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR335156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician