Individual
LUIS A QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 SOUTH MARION AVENUE, NF/SG VETERANS HEALTH SYSTEM, LAKE CITY, FL 32025
(386) 755-3016
(386) 754-6384
Mailing address
619 SOUTH MARION AVENUE, DEPARTMENT OF VETERANS AFFAIRS NORTH FLORIDA/SOUTH GEOR, LAKE CITY, FL 32025
(386) 755-3016
(386) 754-6484
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
14915
PR
174400000X
Specialist
431 ACN
FL
207P00000X
Emergency Medicine Physician
14915
PR
2083X0100X
Occupational Medicine Physician
Primary
14915
PR
208D00000X
General Practice Physician
14915
PR
208D00000X
General Practice Physician
ACN431
FL
Other
Enumeration date
01/19/2006
Last updated
02/01/2016
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