Quinones, Ivo Lazaro

Quinones, Ivo Lazaro is an sole proprietor health care provider with primary practice located at 5555 Ponce De Leon Blvd , Coral Gables FL 33146-2513. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Quinones, Ivo Lazaro can be contacted via phone (305) 284-9100.

Contact Information

Primary practice address
5555 Ponce De Leon Blvd Coral Gables FL 33146-2513
Phone: (305) 284-9100
Fax: (305) 284-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115065 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9115065 Florida

Profile Details

NPI number 1336811165
LBN Legal business name Quinones, Ivo Lazaro
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2021
Last updated Aug 3rd, 2022 - about 4 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 1336811165 NPPES
Florida MEDICAID 113137200

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