Healthcare Provider Details

I. General information

NPI: 1528400215
Provider Name (Legal Business Name): MEDICAL QUALITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 64 KM 2.8 BO ALGARROBOS SECTOR EL MANI
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

RR 1 BOX 37166
SAN SEBASTIAN PR
00685-9101
US

V. Phone/Fax

Practice location:
  • Phone: 787-218-5955
  • Fax:
Mailing address:
  • Phone: 787-218-5955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number328027
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number328027
License Number StatePR

VIII. Authorized Official

Name: MR. KEVIN ORTIZ
Title or Position: PRESIDENT
Credential:
Phone: 787-218-5955