Provider Demographics
NPI:1932464799
Name:QUALITY DIAGNOSTIC & REHABILITATION CENTER INC.
Entity Type:Organization
Organization Name:QUALITY DIAGNOSTIC & REHABILITATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEYSI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-819-8077
Mailing Address - Street 1:5590 W 20TH AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7062
Mailing Address - Country:US
Mailing Address - Phone:305-819-8077
Mailing Address - Fax:305-819-8095
Practice Address - Street 1:5590 W 20TH AVE STE 303
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-7062
Practice Address - Country:US
Practice Address - Phone:305-819-8077
Practice Address - Fax:305-819-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6764261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center