MEDICARE: QUALITY OF LIFE MEDICAL CENTERS, LLC

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	261QP2300X	Primary Care Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1194609677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY OF LIFE MEDICAL CENTERS, LLC

Provider Business Mailing Address
First Line	:	6390 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3517
Country	:	US
Telephone Number	:	520-733-2250
Fax Number	:	520-733-2270

Provider Business Practice Location Address
First Line	:	6390 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3517
Country	:	US
Telephone Number	:	520-733-2250
Fax Number	:	520-733-2270

Authorized Official
Title or Position	:	BILLING
Name	:	CARMEN ROUSSEAU
Credential	:
Telephone Number	:	520-733-2250

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

Similar Medicare Providers

1154128437 — GUADALUPE CASTANEDA NP
Practice Location Address:

6390 E BROADWAY BLVD
TUCSON, AZ
85710-3517

Practice Phone: 520-733-2250
Practice Fax: 520-733-2270

1023181377 — MR. ANTHONY FERNANDEZ LCSW
Practice Location Address:

6390 E BROADWAY BLVD
TUCSON, AZ
85710-3517

Practice Phone: 520-284-7949
Practice Fax:

1023614609 — SOLACE BEHAVIORAL HEALTH LLC
Practice Location Address:

6390 E BROADWAY BLVD
TUCSON, AZ
85710-3517

Practice Phone: 520-284-7949
Practice Fax: 520-448-9799

1962566372 — BERNARD SHARKUS M.ED., LPC
Practice Location Address:

4400 E BROADWAY BLVD , SUITE 704
TUCSON, AZ
85711-3517

Practice Phone: 520-327-6081
Practice Fax: 520-327-7699

1659436574 — DR. LEONARD J. CABIANCA PHD
Practice Location Address:

4400 E BROADWAY BLVD , 704
TUCSON, AZ
85711-3517

Practice Phone: 520-327-6081
Practice Fax: 520-327-7699

1407906431 — MS. JUNE POLATSEK M.A.
Practice Location Address:

4400 E BROADWAY BLVD , SUITE 704
TUCSON, AZ
85711-3517

Practice Phone: 520-327-6081
Practice Fax: 520-327-7699

Directions to “QUALITY OF LIFE MEDICAL CENTERS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.