Provider Demographics
NPI:1639746266
Name:MQV PROFESSIONAL SERVICES INC
Entity type:Organization
Organization Name:MQV PROFESSIONAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SENAN BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-225-0199
Mailing Address - Street 1:15715 S DIXIE HWY STE 417
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1884
Mailing Address - Country:US
Mailing Address - Phone:954-225-0199
Mailing Address - Fax:786-228-2200
Practice Address - Street 1:15715 S DIXIE HWY STE 417
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1884
Practice Address - Country:US
Practice Address - Phone:954-225-0199
Practice Address - Fax:786-228-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center