Individual
DR. LUIS ANGEL RIVERA QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5307 MAIN ST, NEW PORT RICHEY, FL 34652-2536
(727) 900-7788
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
16139
PR
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
16139
PR
208D00000X
General Practice Physician
16139
PR
208D00000X
General Practice Physician
Primary
ACN918
FL
Other
Enumeration date
05/12/2006
Last updated
08/18/2020
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