Provider Demographics
NPI:1801198171
Name:BETTER QUALITY DIAGNOSTIC CENTER, INC.
Entity Type:Organization
Organization Name:BETTER QUALITY DIAGNOSTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-673-7264
Mailing Address - Street 1:1939 DEL PRADO BLVD S
Mailing Address - Street 2:UNIT C
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-4511
Mailing Address - Country:US
Mailing Address - Phone:239-673-7264
Mailing Address - Fax:239-673-7265
Practice Address - Street 1:1939 DEL PRADO BLVD S
Practice Address - Street 2:UNIT C
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-4511
Practice Address - Country:US
Practice Address - Phone:239-673-7264
Practice Address - Fax:239-673-7265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8513261QR0200X, 335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFILE 8786OtherAHCA EXEMPT