MEDICARE: DR. FRANCISCO J 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
1	207R00000X	Internal Medicine Physician	26645	AL
2	207RP1001X	Pulmonary Disease Physician	26645	AL
3	207RP1001X	Pulmonary Disease Physician	R5C64	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00387451	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	A14069	OTHER	AL	HEALTHSPRINGS OF AL
5	051536374	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1366429748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO J QUINONES MD

Provider Business Mailing Address
First Line	:	PO BOX 955534
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-5534
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 BELLEVUE AVE
Second Line	:	SUITE 500
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1854
Country	:	US
Telephone Number	:	314-925-4744
Fax Number	:	314-925-4764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	11/20/2020

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Directions to “ DR. FRANCISCO J QUINONES MD” Practice Location

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