Provider Demographics
NPI:1053570457
Name:QUINONES FERNANDINI, VIRGEN MILAGROS (MD, PSYCHIATRIST)
Entity type:Individual
Prefix:DR
First Name:VIRGEN
Middle Name:MILAGROS
Last Name:QUINONES FERNANDINI
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Gender:F
Credentials:MD, PSYCHIATRIST
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Mailing Address - Street 1:701 PORTALES DEL MONTE
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2007
Mailing Address - Country:US
Mailing Address - Phone:914-318-2258
Mailing Address - Fax:787-652-4773
Practice Address - Street 1:701 PORTALES DEL MONTE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00780-2007
Practice Address - Country:US
Practice Address - Phone:914-318-2258
Practice Address - Fax:787-652-4773
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2013-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR178932084P0804X
NY254852-12084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry