Healthcare Provider Details
I. General information
NPI: 1336080985
Provider Name (Legal Business Name): NIGHT MIND MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
64 CALLE SANTA CRUZ STE 205
BAYAMON PR
00961-7004
US
IV. Provider business mailing address
PG122 VIA ARCOIRIS
TRUJILLO ALTO PR
00976-6154
US
V. Phone/Fax
- Phone: 787-473-8900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HECTOR
JOSE
ALONSO QUINONES
Title or Position: PHYSICIAN
Credential: MD
Phone: 787-235-1837