Individual
MISS WILMAR DE JESUS QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHL
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
620
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2587501
TRIPLE SSS, HUMANA, MCS
PR
Enumeration date
06/06/2019
Last updated
06/11/2019
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