Provider Demographics
NPI:1861140295
Name:QUINONES MORALES, CARMEN MARIA (PHARMD)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:MARIA
Last Name:QUINONES MORALES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MANSIONES DE MONTERREY
Mailing Address - Street 2:CALLE ASTURIAS #628
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-543-7579
Mailing Address - Fax:
Practice Address - Street 1:32 CALLE 25 DE JULIO
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2712
Practice Address - Country:US
Practice Address - Phone:787-821-3131
Practice Address - Fax:787-821-2222
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist