Provider Demographics
NPI:1457605917
Name:IQUEST SURGERY CENTER
Entity Type:Organization
Organization Name:IQUEST SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YESIM
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:CALAFELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-819-8841
Mailing Address - Street 1:1738 W 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3456
Mailing Address - Country:US
Mailing Address - Phone:305-819-8841
Mailing Address - Fax:305-819-6866
Practice Address - Street 1:1738 W 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3456
Practice Address - Country:US
Practice Address - Phone:305-819-8841
Practice Address - Fax:305-819-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAME 97267261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical