Provider Demographics
NPI:1548477508
Name:QUINONES, PAOLA EDMEE (LMT)
Entity type:Individual
Prefix:MS
First Name:PAOLA
Middle Name:EDMEE
Last Name:QUINONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 SW 37TH AVE APT.906
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-9106
Mailing Address - Country:US
Mailing Address - Phone:305-316-4688
Mailing Address - Fax:
Practice Address - Street 1:2665 SW 37TH AVE APT 906
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2758
Practice Address - Country:US
Practice Address - Phone:305-316-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46965225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist