Healthcare Provider Details

I. General information

NPI: 1497626881
Provider Name (Legal Business Name): ASQ HEALTH INSTITUTE PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE 6717
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR STE 6717
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 571-208-2811
  • Fax: 866-598-3382
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1002X
TaxonomyPhysician Nutrition Specialist (Internal Medicine)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PROF. ARLENE SERRANO QUIJANO
Title or Position: OWNER
Credential: PA-C, PHD, DHS, LCPC
Phone: 954-439-2004