Organization Active NPI

Luis E. Quinones, MD, PA

  • Child & Adolescent Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1356455000
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME 60608 Issued in FL
Legal business name
LUIS E. QUINONES, MD, PA
Practice address
12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842
Phone
(904) 886-0361
Fax
(904) 886-0382
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis E Quinones, M.D.
Title
Owner
Phone
(904) 886-0361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME60608 FL
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X ME 60608 FL Primary

Addresses

Primary practice location

12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842

Mailing address

12058 San Jose Blvd
Suite 903
Jacksonville, FL 32223-1842
Phone (904) 886-0361

National Provider Directory

National Provider Directory

Locations

1649 Atlantic Blvd
Ste 1
Jacksonville, FL 32207
Phone (904) 398-9861

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1356455000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD",
            "address_2": "SUITE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-886-0361",
            "fax_number": "904-886-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD",
            "address_2": "SUITE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-886-0361",
            "fax_number": "904-886-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E. QUINONES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-886-0361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60608",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME 60608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.