| Edgar Rafael Valdez Quinonez, | |
|
634 Deltona Blvd Ste A, Deltona, FL 32725-8112 | |
| (407) 878-7990 | |
| (407) 732-7631 |
| Full Name | Edgar Rafael Valdez Quinonez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 634 Deltona Blvd Ste A, Deltona, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275130551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 11009595 (Florida) | Primary |
| Entity Name | Guidewell Sanitas I, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Rafael Valdez Quinonez, 634 Deltona Blvd Ste A, Deltona, FL 32725-8112 Ph: (407) 878-7990 | Edgar Rafael Valdez Quinonez, 634 Deltona Blvd Ste A, Deltona, FL 32725-8112 Ph: (407) 878-7990 |
Elizabeth Bauza Estrada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1409 E Hancock Dr, Deltona, FL 32725 Phone: 786-259-3944 | |
Marie De Jesus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2187 Howland Blvd, Deltona, FL 32738 Phone: 386-789-0813 | |
Marizsa Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2090 Saxon Blvd Ste B, Deltona, FL 32725 Phone: 386-425-3300 | |
Feron Foster, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1565 Saxon Blvd Ste 201, Deltona, FL 32725 Phone: 386-532-1232 Fax: 386-532-3090 | |
Sol Cowart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1857 Providence Blvd, Deltona, FL 32725 Phone: 386-789-8544 | |
Lindsay Piwinski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd Ste 202, Deltona, FL 32725 Phone: 386-851-0644 | |
Mrs. Malia Kent, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2899 Tide Ct, Deltona, FL 32738 Phone: 407-430-7888 |