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NPI Code Detail

MEDICARE: DR. ARMANDO EDGARDO QUINONES MD

MEDICARE:  DR. ARMANDO EDGARDO QUINONES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianL3790TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00631382OTHERTXRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1053306779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARMANDO EDGARDO QUINONES MD
Provider Business Mailing Address
First Line : 1045 CENTRAL PARKWAY NORTH
Second Line : SUITE 200
City : SAN ANTONIO
State : TX
Zip : 78232-5024
Country : US
Telephone Number : 210-541-4500
Fax Number : 210-541-4508
Provider Business Practice Location Address
First Line : 414 NAVARRO ST
Second Line : SUITE 809
City : SAN ANTONIO
State : TX
Zip : 78205-2516
Country : US
Telephone Number : 210-272-1741
Fax Number : 210-272-1747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 11/01/2012

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Directions to “ DR. ARMANDO EDGARDO QUINONES MD” Practice Location

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