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NPI Code Detail

MEDICARE: MS. MARIA DEL C. QUINONES, PEREZ LMHC

MEDICARE:  MS. MARIA DEL C. QUINONES, PEREZ  LMHC
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
1101YM0800XMental Health CounselorMH 7196FL
2101YM0800XMental Health CounselorMH7196FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600248011OTHERFLMAGELLAV
2Z037UOTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679791149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA DEL C. QUINONES, PEREZ LMHC
Provider Business Mailing Address
First Line : 3991 SW GREEWNWOOD WAY SUITE 3G
Second Line :
City : PALM CITY
State : FL
Zip : 34990-4639
Country : US
Telephone Number : 772-634-1400
Fax Number : 772-221-2433
Provider Business Practice Location Address
First Line : 3991 SW GREEWNWOOD WAY
Second Line : 3-G
City : PALM CITY
State : FL
Zip : 34990
Country : US
Telephone Number : 772-634-1400
Fax Number : 772-221-2433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 09/18/2012

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Directions to “ MS. MARIA DEL C. QUINONES, PEREZ LMHC” Practice Location

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