Healthcare Provider Details

I. General information

NPI: 1700096500
Provider Name (Legal Business Name): DR HIRAM QUINONES FERRE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO MORALES
PONCE PR
00731
US

IV. Provider business mailing address

PO BOX 1116
COTO LAUREL PR
00780-1116
US

V. Phone/Fax

Practice location:
  • Phone: 787-842-2040
  • Fax: 787-812-0565
Mailing address:
  • Phone: 787-842-2040
  • Fax: 787-812-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HIRAM QUINONES FERRER
Title or Position: PRESIDENT
Credential: MD
Phone: 787-842-2040