Provider Demographics
NPI:1528780731
Name:RODRIGUEZ QUINONES, ORLANDO (DDS)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:RODRIGUEZ QUINONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 SW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1122
Mailing Address - Country:US
Mailing Address - Phone:786-333-0561
Mailing Address - Fax:
Practice Address - Street 1:1701 BOY SCOUT DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2173
Practice Address - Country:US
Practice Address - Phone:239-933-1828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN298251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice