Provider Demographics
NPI:1083842538
Name:DQF PEDIATRICS CORP.
Entity Type:Organization
Organization Name:DQF PEDIATRICS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-220-4401
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-0487
Mailing Address - Country:US
Mailing Address - Phone:787-220-4401
Mailing Address - Fax:787-836-4700
Practice Address - Street 1:STATE ROAD 385, KM 0.5
Practice Address - Street 2:BO. CUEVAS
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-220-4401
Practice Address - Fax:787-836-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13342261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center