Provider Demographics
NPI:1407073398
Name:QUALITY MEDICAL PERSONNEL INC
Entity Type:Organization
Organization Name:QUALITY MEDICAL PERSONNEL INC
Other - Org Name:QUALITY MEDICAL PERSONNEL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:305-836-7927
Mailing Address - Street 1:4051 E 8TH AVE
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2800
Mailing Address - Country:US
Mailing Address - Phone:305-836-7927
Mailing Address - Fax:305-836-7928
Practice Address - Street 1:4051 E 8TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-2800
Practice Address - Country:US
Practice Address - Phone:305-836-7927
Practice Address - Fax:305-836-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4926293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV0989OtherBLUE CROSS BLUE SHIELD
FLE1504Medicare ID - Type UnspecifiedIDTF
FLE1504Medicare UPIN