Provider Demographics
NPI:1417251448
Name:M.Q. HEALTH COMPLIANCE GROUP, INC.
Entity Type:Organization
Organization Name:M.Q. HEALTH COMPLIANCE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUANY-GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-468-3034
Mailing Address - Street 1:330 SW 27TH AVE
Mailing Address - Street 2:SUITE # 504
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2961
Mailing Address - Country:US
Mailing Address - Phone:786-468-3034
Mailing Address - Fax:
Practice Address - Street 1:330 SW 27TH AVE
Practice Address - Street 2:SUITE # 504
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2961
Practice Address - Country:US
Practice Address - Phone:786-468-3034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25040207QA0505X
FLME 25040305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00328279OtherUNITED HEALTHCARE
FL92208OtherBLUE CROSS/ BLUE SHIELD
FL5159763OtherCIGNA
FL92208OtherBLUE CROSS/ BLUE SHIELD