MEDICARE: QUIROZ HOME HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174255707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUIROZ HOME HEALTH INC

Provider Business Mailing Address
First Line	:	530 NW 24TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4436
Country	:	US
Telephone Number	:	305-803-5719
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 NW 24TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4436
Country	:	US
Telephone Number	:	305-803-5719
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA J LOPEZ
Credential	:
Telephone Number	:	305-803-5719

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	06/30/2022

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Directions to “QUIROZ HOME HEALTH INC ” Practice Location

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