Basic Information
Provider Information
NPI: 1932178837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUINONES VELEZ
FirstName: ZENAIDA
MiddleName: IVETTE
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT, CCVT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 65
Address2:  
City: MAYAGUEZ
State: PR
PostalCode: 006810065
CountryCode: US
TelephoneNumber: 7878343536
FaxNumber: 7878343536
Practice Location
Address1: CALLE PERAL 29 NORTE
Address2: AL COSTADO DEL TERMINAR DE CARROS PUBLICOS
City: MAYAGUEZ
State: PR
PostalCode: 00680
CountryCode: US
TelephoneNumber: 7878343536
FaxNumber: 7878343536
Other Information
ProviderEnumerationDate: 03/15/2006
LastUpdateDate: 05/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X732PRY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
261QP2000X732PRN Ambulatory Health Care FacilitiesClinic/CenterPhysical Therapy

No ID Information.


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