Quinones, Deogracia

Quinones, Deogracia is an individual health care provider with primary practice located at Womack Army Medical Ctr Stop A, 2817 Reilly Road, Fort Bragg NC 28310-0001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Quinones, Deogracia can be contacted via phone (910) 907-8664.

Contact Information

Primary practice address
Womack Army Medical Ctr Stop A, 2817 Reilly Road Fort Bragg NC 28310-0001
Phone: (910) 907-8664
Fax: (910) 907-7762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35729 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 35729 North Carolina

Profile Details

NPI number 1629079926
LBN Legal business name Quinones, Deogracia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629079926 NPPES
North Carolina MEDICAID 89131WR

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