MEDICARE: YUNAYSE QUINONES MA

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	106S00000X	Behavior Technician	RBT-20-121527	FL
2	225700000X	Massage Therapist	MA63392	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962772772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNAYSE QUINONES MA

Provider Business Mailing Address
First Line	:	6940 NW 179TH ST APT 205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5646
Country	:	US
Telephone Number	:	786-804-1007
Fax Number	:

Provider Business Practice Location Address
First Line	:	6940 NW 179TH ST APT 205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5646
Country	:	US
Telephone Number	:	786-804-1007
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	06/09/2020

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Directions to “ YUNAYSE QUINONES MA” Practice Location

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