=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649179995
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | INGRID YESENIA BARRETO QUINONES APRN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2026
-----------------------------------------------------
Last Update Date | 11/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 983 AUGUST SKY DR
-----------------------------------------------------
City | DELTONA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32738-9124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-625-4437
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 983 AUGUST SKY DR
-----------------------------------------------------
City | DELTONA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32738-9124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-625-4437
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 11051988
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------