Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME107444 | FL |
NPI | 1013944701 |
---|---|
Provider Name | Virmarie Quinones-Pagan |
First Address | Mirmar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-3443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016559400 | (05) | FL |