Provider Demographics
NPI:1730209644
Name:QUINONES, MOISES E (MD)
Entity type:Individual
Prefix:DR
First Name:MOISES
Middle Name:E
Last Name:QUINONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOSES
Other - Middle Name:ELADIO
Other - Last Name:QUINONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2955 MARKET ST STE B4
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6575
Mailing Address - Country:US
Mailing Address - Phone:540-381-7326
Mailing Address - Fax:540-381-7327
Practice Address - Street 1:2955 MARKET ST STE B4
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073
Practice Address - Country:US
Practice Address - Phone:540-381-7326
Practice Address - Fax:540-381-7327
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine