Individual
DR. RAFAEL QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 NW PEACOCK BLVD, PORT ST LUCIE, FL 34986-2212
(800) 991-6117
(888) 812-8191
Mailing address
3810 NORTHDALE BLVD STE 150, TAMPA, FL 33624-1871
(813) 961-1331
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME106124
FL
208600000X
Surgery Physician
RQ075615
MI
2086S0129X
Vascular Surgery Physician
ME106124
FL
Other
Enumeration date
08/13/2006
Last updated
04/15/2020
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