Healthcare Provider Details

I. General information

NPI: 1689947152
Provider Name (Legal Business Name): VIQUEZ SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SUNSET DR #261D
MIAMI FL
33173-3012
US

IV. Provider business mailing address

10300 SUNSET DR #261D
MIAMI FL
33173-3012
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-9910
  • Fax:
Mailing address:
  • Phone: 305-303-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSE VIRGILIO VIQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-303-9910