MEDICARE: NEUROQUEST 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	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1841184041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROQUEST LLC

Provider Business Mailing Address
First Line	:	3950 SW 2ND TER
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 SW 22ND ST
Second Line	:	STE 328
City	:	MIAMI
State	:	FL
Zip	:	33145
Country	:	US
Telephone Number	:	786-536-7694
Fax Number	:	305-680-3954

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARTHA M BRIZUELA
Credential	:
Telephone Number	:	786-282-4960

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	03/02/2026

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Directions to “NEUROQUEST LLC ” Practice Location

Language	Start Address	Practice Location

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