Provider Demographics
NPI:1053111567
Name:QUINONES ORTIZ, EDILI (CNIM)
Entity type:Individual
Prefix:
First Name:EDILI
Middle Name:
Last Name:QUINONES ORTIZ
Suffix:
Gender:
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7814 SUNSET COVE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4454
Mailing Address - Country:US
Mailing Address - Phone:210-787-7135
Mailing Address - Fax:
Practice Address - Street 1:7814 SUNSET COVE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4454
Practice Address - Country:US
Practice Address - Phone:210-787-7135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2642246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic