Provider Type Icon

LUIS E. QUINONES MD PA NPI 1356455000


NPI Information

NPI: 1356455000
Provider Name: LUIS E. QUINONES, MD, PA
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
12058 SAN JOSE BLVD
SUITE 903
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 886-0361
Get Directions

LUIS E. QUINONES, MD, PA is a child and adolescent psychiatry psychiatry neurology in Jacksonville, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LUIS E. QUINONES, MD, PA NPI is 1356455000. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12058 SAN JOSE BLVD
SUITE 903
JACKSONVILLE, FL
ZIP 32223-842
Phone: (904) 886-0361
Fax: (904) 886-0382

The provider's authorized official is Luis E Quinones .
The authorized official title is Owner and has the following contact phone number (904) 886-0361.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 11/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryME60608FLORIDANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME 60608FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F79125MEDICARE UPINFLORIDA
2K8999MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP ID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.