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General NPI Number Information
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NPI Number | 1164618070
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Entity Type | Individual
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Provider Name | JOSE MANUEL QUINONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 06/07/2017
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Provider Practice Location Address
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Address Line | 526 AVE. TRIO VEGABAJENO
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City | VEGA BAJA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-654-7452
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Fax | 787-654-7452
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Provider Business Mailing Address
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Address Line | 221 CALLE ROBLE
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City | VEGA ALTA
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State | PR
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Zip | 00692-9033
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Country | US
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Telephone | 787-560-0643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16877
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License Number State | PR
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