Healthcare Provider Details

I. General information

NPI: 1386391506
Provider Name (Legal Business Name): VALERIA QUINONES RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 8.3 CALLE 3 AV. 65 DE INFANTERIA
CAROLINA PR
00984-0000
US

IV. Provider business mailing address

KM 8.3 CALLE 3 AVE 65 DE INFANTERIA
CAROLINA PR
00984-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number17599
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: