Basic Information
| Provider Information | |||||||||
| NPI: | 1649409079 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALNER MIGUEL QUINONEZ, M.D., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 N LANIER AVE | ||||||||
| Address2: | |||||||||
| City: | FORT MEADE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338412918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8632857171 | ||||||||
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| Practice Location | |||||||||
| Address1: | 25 N LANIER AVE | ||||||||
| Address2: | |||||||||
| City: | FORT MEADE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338412918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8632857171 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2009 | ||||||||
| LastUpdateDate: | 02/20/2014 | ||||||||
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| AuthorizedOfficialLastName: | QUINONEZ | ||||||||
| AuthorizedOfficialFirstName: | ALNER | ||||||||
| AuthorizedOfficialMiddleName: | MIGUEL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9153450737 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.