Provider Demographics
NPI:1881798593
Name:QUINCOCES, ORLANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:QUINCOCES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1901
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-1901
Mailing Address - Country:US
Mailing Address - Phone:787-825-2833
Mailing Address - Fax:787-825-2762
Practice Address - Street 1:BALDORIOTY 41B
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-825-2833
Practice Address - Fax:787-825-2762
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7390174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98857Medicare ID - Type Unspecified