NPI Code Details Logo

NPI 1639746266

NPI 1639746266 : MQV PROFESSIONAL SERVICES INC : MIAMI, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639746266
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MQV PROFESSIONAL SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2021
-----------------------------------------------------
    Last Update Date     |    01/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15715 S DIXIE HWY STE 226 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33157-1877
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-225-0199
-----------------------------------------------------
    Fax                  |    786-228-2200
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15715 S DIXIE HWY STE 226 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33157-1877
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-225-0199
-----------------------------------------------------
    Fax                  |    786-228-2200
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     YORDAN  SENAN BENITEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    954-225-0199
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.