Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2019011449 | MO |
Y | 207X00000X | Orthopaedic Surgeon | 35.139659 | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 2019011449 | MO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 35.139659 | OH |
NPI | 1093135774 |
---|---|
Provider Name | Dr. Daniel Jorge Quinones |
First Address | Kettering, OH 45439-1924 |
Second Address | Dayton, OH 45409-2939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 26/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0415165 | (05) | OH |