IVO LAZARO QUINONES PA-C NPI 1336811165

NPI Information

NPI: 1336811165
Provider Name: IVO LAZARO QUINONES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5555 PONCE DE LEON BLVD
CORAL GABLES, FL
ZIP 33146
Phone: (305) 284-9100
Get Directions

Ivo Lazaro Quinones, PA-C is a medical physician assistant in Coral Gables, FL with 3 years of experience. Ivo Lazaro Quinones, PA-C NPI is 1336811165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 PONCE DE LEON BLVD
CORAL GABLES, FL
ZIP 33146-513
Phone: (305) 284-9100
Fax: (305) 284-4098

The NPI 1336811165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 8/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9115065	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	PA9115065	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113137200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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