Provider Demographics
NPI:1992075998
Name:GARCIA-QUIJANO, NICOLE ALEXANDRA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ALEXANDRA
Last Name:GARCIA-QUIJANO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18801 SUNSET HILLS CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-1734
Mailing Address - Country:US
Mailing Address - Phone:787-948-2315
Mailing Address - Fax:
Practice Address - Street 1:18801 SUNSET HILLS CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-1734
Practice Address - Country:US
Practice Address - Phone:787-948-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2022-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD761482083P0901X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine