Healthcare Provider Details

I. General information

NPI: 1356293286
Provider Name (Legal Business Name): MADISON QUIRINO PA-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 N ELM ST
ESCONDIDO CA
92025-3002
US

IV. Provider business mailing address

10471 OAK BRANCH TRL
STRONGSVILLE OH
44149-1278
US

V. Phone/Fax

Practice location:
  • Phone: 833-867-4642
  • Fax:
Mailing address:
  • Phone: 216-789-5609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: