=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366116857
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TCM QUALITY SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2021
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 871 SE 47TH ST
-----------------------------------------------------
City | CAPE CORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33904-9002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-257-1950
-----------------------------------------------------
Fax | 239-257-1970
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 871 SE 47TH ST
-----------------------------------------------------
City | CAPE CORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33904-9002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-257-1950
-----------------------------------------------------
Fax | 239-257-1970
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. EDUARDO MARTINEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-900-3356
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------