Provider Demographics
NPI:1205072055
Name:QUINIO, ANNA-LIA GARCIA (MD)
Entity type:Individual
Prefix:
First Name:ANNA-LIA
Middle Name:GARCIA
Last Name:QUINIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA-LIA
Other - Middle Name:QUINIO
Other - Last Name:MARILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:45-955 KAMEHAMEHA HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3292
Mailing Address - Country:US
Mailing Address - Phone:808-234-6383
Mailing Address - Fax:808-353-0551
Practice Address - Street 1:45-955 KAMEHAMEHA HWY STE 300
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3292
Practice Address - Country:US
Practice Address - Phone:808-234-6383
Practice Address - Fax:808-353-0551
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17977207Q00000X
CAA106179207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA106179OtherCALIFORNIA MEDICAL BOARD
CAEC725ZMedicare PIN