Healthcare Provider Details

I. General information

NPI: 1316855752
Provider Name (Legal Business Name): CAMILA QUINONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2531 NW 84TH AVE APT 107
DORAL FL
33122-1575
US

IV. Provider business mailing address

2531 NW 84TH AVE APT 107
DORAL FL
33122-1575
US

V. Phone/Fax

Practice location:
  • Phone: 954-225-5176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number26-310
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: