Individual
DR. HANA GABRIELLE LOPEZ-QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PARKWAY SOUTH, BUILDING 1, ROOM 209, BRONX, NY 10461
(718) 918-5965
Mailing address
1400 PELHAM PARKWAY SOUTH, PLASTIC SURGERY DEPT BLDG 1, 2ND FLOOR, ROOM 209, BRONX, NY 10461
(718) 918-5965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
300790
NY
2086S0102X
Surgical Critical Care Physician
300790
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300790
MEDICAL LICENSE
NY
Enumeration date
04/26/2011
Last updated
09/23/2020
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