MEDICARE: DR. AUGUSTO MAYOR QUILON III MD

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
1	207RR0500X	Rheumatology Physician	ME107388	FL
2	207RR0500X	Rheumatology Physician	04-49441	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00871767	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1437362266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUGUSTO MAYOR QUILON III MD

Provider Business Mailing Address
First Line	:	PO BOX 45443
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84145-0443
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	2301 HOUSE AVE STE 201
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-3177
Country	:	US
Telephone Number	:	307-638-7757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	01/28/2026

Similar Medicare Providers

1871090837 — DR. LIAM GERHARDT CLARK MD
Practice Location Address:

2301 HOUSE AVE STE 201
CHEYENNE, WY
82001-3177

Practice Phone: 307-638-7757
Practice Fax:

1790721306 — RON W WAECKERLIN M.D.
Practice Location Address:

2301 HOUSE AVE STE 108
CHEYENNE, WY
82001-3177

Practice Phone: 307-634-9238
Practice Fax: 307-778-3665

1083624266 — PAULA MARIE THORNTON NP
Practice Location Address:

2301 HOUSE AVE STE 201
CHEYENNE, WY
82001-3177

Practice Phone: 307-638-7757
Practice Fax: 307-638-8359

1235231028 — CHEYENNE KIDNEY AND DIALYSIS CLINIC PC
Practice Location Address:

2301 HOUSE AVE , SUITE 201
CHEYENNE, WY
82001-3177

Practice Phone: 307-635-9131
Practice Fax: 307-637-8300

1386743169 — ANAPATH DIAGNOSTICS, INC
Practice Location Address:

2301 HOUSE AVE STE 108
CHEYENNE, WY
82001-3177

Practice Phone: 307-634-9238
Practice Fax: 307-778-3665

1942364385 — HOY'S INC.
Practice Location Address:

2301 HOUSE AVE STE 101
CHEYENNE, WY
82001-3177

Practice Phone: 307-637-7920
Practice Fax: 307-637-3416

Directions to “ DR. AUGUSTO MAYOR QUILON III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.