EDGAR RAFAEL VALDEZ QUINONEZ


Address: 1212 Verdant Glade Pl, Winter Park, FL 32792-3029
Phone: 4079900640

EDGAR RAFAEL VALDEZ QUINONEZ (NPI# 1275130551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275130551
Entity Type Individual
Full Name EDGAR RAFAEL VALDEZ QUINONEZ
Practice Address 1212 Verdant Glade Pl
Winter Park
FL 32792-3029
Practice Telephone 4079900640
Mailing Telephone 4079900640
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
11009595 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1212 VERDANT GLADE PL
City WINTER PARK
State FL
Zip Code 32792-3029

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093177941 Elizabeth Rose Montoya Nurse Practitioner 4355 Bear Gully Rd, Winter Park, FL 32792-9422 2016-03-21
1780058990 Maureen Ann Rabazinski Nurse Practitioner 1933 Dundee Dr, Winter Park, FL 32792-4103 2015-11-25
1740651470 Michelle Glowacki Hartog Nurse Practitioner 4355 Bear Gully Rd, Winter Park, FL 32792-9422 2015-10-07
1538486758 Hands On Medical Services LLC Nurse Practitioner 2431 Aloma Ave, Winter Park, FL 32792-2541 2010-04-28

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Competitor

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City WINTER PARK
Zip Code 32792

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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