Healthcare Provider Details

I. General information

NPI: 1780502005
Provider Name (Legal Business Name): LOURDES MARIE RAMIREZ QUINONES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSTOS AVE., CENTRO NOVIOS PLAZA SUITE 204
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

SY44 CALLE BUCARE
HORMIGUEROS PR
00660-1309
US

V. Phone/Fax

Practice location:
  • Phone: 787-412-9258
  • Fax:
Mailing address:
  • Phone: 864-347-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001108
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: