1619346483 NPI number — MRS. ILAINE QUINONES PHARMACY TECHNICIAN

Table of content: MRS. ILAINE QUINONES PHARMACY TECHNICIAN (NPI 1619346483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619346483 NPI number — MRS. ILAINE QUINONES PHARMACY TECHNICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUINONES
Provider First Name:
ILAINE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMACY TECHNICIAN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619346483
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 645
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEIBA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00735-0645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-556-1718
Provider Business Mailing Address Fax Number:
787-874-4796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
C7 CALLE 1
Provider Second Line Business Practice Location Address:
URB. SANTA MARIA
Provider Business Practice Location Address City Name:
CEIBA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-556-1718
Provider Business Practice Location Address Fax Number:
787-874-4796
Provider Enumeration Date:
09/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183700000X , with the licence number:  10321 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com