Provider Demographics
NPI:1609755370
Name:QUINONEZ HERNANDEZ, KIARA G (SLP/L)
Entity type:Individual
Prefix:MISS
First Name:KIARA
Middle Name:G
Last Name:QUINONEZ HERNANDEZ
Suffix:
Gender:F
Credentials:SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA BORINQUEN
Mailing Address - Street 2:CALLE YAGUEZ E27
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1111
Mailing Address - Country:US
Mailing Address - Phone:787-975-1403
Mailing Address - Fax:
Practice Address - Street 1:CARR 1 PARQUE INDUSTRIAL VILLA BLANCA
Practice Address - Street 2:EDIFICIO PLAZA BAIROA LOCAL 135
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1111
Practice Address - Country:US
Practice Address - Phone:787-407-4814
Practice Address - Fax:787-258-8225
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR007110235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist