| Gerardo Quinonez, M.d., P.a. | |
|
1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 | |
| (561) 369-2144 | |
| (561) 369-2117 |
| Full Name | Gerardo Quinonez, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 W Woolbright Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Gerardo Quinonez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5613692144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Quinonez, M.d., P.a. 1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 Ph: (561) 369-2144 | Gerardo Quinonez, M.d., P.a. 1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 Ph: (561) 369-2144 |
| NPI Number | 1073533683 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 09/29/2008 |
| Medicare PECOS PAC ID | 5799782207 |
|---|---|
| Medicare Enrollment ID | O20100215000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073533683 | NPI | - | NPPES |
| 264184400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80428 (Florida) | Primary |
| Provider Name | Gerardo Quinonez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124023239 PECOS PAC ID: 5597656355 Enrollment ID: I20040322001190 |
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