Healthcare Provider Details

I. General information

NPI: 1417251448
Provider Name (Legal Business Name): M.Q. HEALTH COMPLIANCE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 SW 27TH AVE SUITE # 504
MIAMI FL
33135-2961
US

IV. Provider business mailing address

330 SW 27TH AVE SUITE # 504
MIAMI FL
33135-2961
US

V. Phone/Fax

Practice location:
  • Phone: 786-468-3034
  • Fax:
Mailing address:
  • Phone: 786-468-3034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME25040
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberME 25040
License Number StateFL

VIII. Authorized Official

Name: DR. RUSQUIN DUANY-GONZALEZ
Title or Position: OWNER
Credential: MD
Phone: 786-468-3034