Provider Demographics
NPI:1376429852
Name:QUINONES VELEZ, GAMALIS MARY (DC)
Entity type:Individual
Prefix:
First Name:GAMALIS
Middle Name:MARY
Last Name:QUINONES VELEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 NW 162ND TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1701
Mailing Address - Country:US
Mailing Address - Phone:787-617-3589
Mailing Address - Fax:
Practice Address - Street 1:2129 NW 162ND TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1701
Practice Address - Country:US
Practice Address - Phone:787-617-3589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor