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NPI Code Detail

MEDICARE: DR. MARIFE QUIROS M.D.

MEDICARE: DR. MARIFE QUIROS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME65941FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073518619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIFE QUIROS M.D.
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-1355
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 2470 BLOOMINGDALE AVE STE 223
Second Line :
City : VALRICO
State : FL
Zip : 33596-6403
Country : US
Telephone Number : 813-689-7139
Fax Number : 813-443-8157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 11/08/2022

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Directions to “ DR. MARIFE QUIROS M.D.” Practice Location

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