Individual
MISS ELBA MICHELLE QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1165 CALLE 62 SE, SAN JUAN, PR 00921-2723
(787) 215-2686
Mailing address
1165 CALLE 62 SE, SAN JUAN, PR 00921-2723
(787) 215-2686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7613
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7613
STATE MSW LISENCE
PR
Enumeration date
01/30/2008
Last updated
01/30/2008
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