Provider Demographics
NPI:1538195466
Name:QUINONES, MIGUEL (MD)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:QUINONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SMITH TOWER, SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SMITH TOWER, SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3091207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133188607Medicaid
TX8U8376OtherBLUE CROSS BLUE SHIELD
TX8U8376OtherBCBS
TXP00295797OtherRAILROAD MEDICARE
TX133188611Medicaid
LA1371564Medicaid
TXP01037127OtherRR MEDICARE
TX133188608Medicaid
TX133188609Medicaid
LA1371564Medicaid
TXTXB145664Medicare PIN
TXTXB145588Medicare PIN
TXP00295797OtherRAILROAD MEDICARE
TX133188609Medicaid
TX8U8376OtherBLUE CROSS BLUE SHIELD
TX133188611Medicaid
TX133188608Medicaid
TX339163ZSWDMedicare PIN