Individual
KRISTINA MABEL NIEVES QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9088 PROGRESS BLVD, RIVERVIEW, FL 33578-4886
(813) 444-0220
(813) 367-1961
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 322-7329
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16125-I
JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO
—
01
—
ACN1597
MEDICAL LICENSE
FL
Enumeration date
10/24/2022
Last updated
02/13/2024
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