Mfr Quality Service, Inc | |
7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 | |
(786) 554-5684 | |
Not Available |
Full Name | Mfr Quality Service, Inc |
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Speciality | Community/Behavioral Health |
Location | 7392 Nw 35th Ter Ste 301, Miami, Florida |
Authorized Official Name and Position | Yanitzia Quintero (PRESIDENT) |
Authorized Official Contact | 7865545684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mfr Quality Service, Inc 7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 Ph: (786) 554-5684 | Mfr Quality Service, Inc 7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 Ph: (786) 554-5684 |
NPI Number | 1174199806 |
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Provider Enumeration Date | 06/02/2021 |
Last Update Date | 06/02/2021 |
Certification Date | 06/02/2021 |
Medicare PECOS PAC ID | 2466822952 |
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Medicare Enrollment ID | O20221227001110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174199806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Trevine Roshan Albert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750736849 PECOS PAC ID: 9931461738 Enrollment ID: I20180314001503 |
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