Healthcare Provider Details

I. General information

NPI: 1013842939
Provider Name (Legal Business Name): SPQ MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 UNIVERSITY DR
MIAMI FL
33146-2008
US

IV. Provider business mailing address

100 ALMERIA AVE
CORAL GABLES FL
33134-6023
US

V. Phone/Fax

Practice location:
  • Phone: 786-294-1707
  • Fax:
Mailing address:
  • Phone: 786-294-1707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SOFIA PORTUONDO QUIRCH
Title or Position: MD
Credential: MD
Phone: 786-294-1707