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NPI Code Detail

MEDICARE: MR. ERICK J. QUINONES RPH

MEDICARE: MR. ERICK J. QUINONES RPH
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
1183500000XPharmacist002091PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14017302OTHERPRNCPDP

General Provider Information

NPI Number : 1578565248
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERICK J. QUINONES RPH
Provider Business Mailing Address
First Line : PO BOX 19723
Second Line :
City : SAN JUAN
State : PR
Zip : 00910-1723
Country : US
Telephone Number : 787-726-0295
Fax Number : 787-726-8768
Provider Business Practice Location Address
First Line : 2428 CALLE LOIZA
Second Line :
City : SAN JUAN
State : PR
Zip : 00913-4731
Country : US
Telephone Number : 787-726-0295
Fax Number : 787-726-8768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 05/21/2009

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