Provider Demographics
NPI:1073983169
Name:QUALITY PROFESSIONAL HEALTHCARE CORP
Entity Type:Organization
Organization Name:QUALITY PROFESSIONAL HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISVET
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-582-5735
Mailing Address - Street 1:5040 NW 7TH ST
Mailing Address - Street 2:SUITE 632
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3422
Mailing Address - Country:US
Mailing Address - Phone:305-582-5735
Mailing Address - Fax:305-441-2883
Practice Address - Street 1:5040 NW 7TH ST
Practice Address - Street 2:SUITE 632
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3422
Practice Address - Country:US
Practice Address - Phone:305-582-5735
Practice Address - Fax:305-441-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)