Provider Demographics
NPI:1922814102
Name:FERRO QUINONES, PEDRO PABLO
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:PABLO
Last Name:FERRO QUINONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 NW 79TH AVE APT 110
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5491
Mailing Address - Country:US
Mailing Address - Phone:561-938-6068
Mailing Address - Fax:
Practice Address - Street 1:4920 NW 79TH AVE APT 110
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5491
Practice Address - Country:US
Practice Address - Phone:561-938-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician