Healthcare Provider Details

I. General information

NPI: 1841184041
Provider Name (Legal Business Name): NEUROQUEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SW 22ND ST STE 328
MIAMI FL
33145
US

IV. Provider business mailing address

3950 SW 2ND TER
CORAL GABLES FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-7694
  • Fax: 305-680-3954
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTHA M BRIZUELA
Title or Position: PRESIDENT
Credential:
Phone: 786-282-4960