Provider Demographics
NPI:1821491390
Name:FISIO&QUALITY MIAMI INC
Entity Type:Organization
Organization Name:FISIO&QUALITY MIAMI INC
Other - Org Name:PHYSIO&QUALITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-476-3646
Mailing Address - Street 1:220 MIRACLE MILE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5910
Mailing Address - Country:US
Mailing Address - Phone:305-476-3646
Mailing Address - Fax:
Practice Address - Street 1:220 MIRACLE MILE
Practice Address - Street 2:SUITE 209
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5910
Practice Address - Country:US
Practice Address - Phone:305-476-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty