Healthcare Provider Details

I. General information

NPI: 1184388738
Provider Name (Legal Business Name): CMQ HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL CMQ AV. FRANCISCO VILLA 1749 VALLARTA VILLAS
PUERTO VALLARTA JALISCO
48300
MX

IV. Provider business mailing address

HOSPITAL CMQ 1400 VILLAGE SQUARE BLVD #3-80638
TALLAHASSEE FL
32312
US

V. Phone/Fax

Practice location:
  • Phone: 322-226-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE ALEX VILLANUEVA
Title or Position: OWNER
Credential: MD
Phone: 322-226-6500