Individual
ERICK QUINTANA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(787) 407-6591
Mailing address
P.O. BOX 86, MOCA, PR 00676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285994
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2018
Last updated
05/19/2021
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