MEDICARE: AMY QUALITY CARE 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

General Provider Information

NPI Number	:	1861990830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY QUALITY CARE INC

Provider Business Mailing Address
First Line	:	5445 SW 115TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6823
Country	:	US
Telephone Number	:	786-306-5559
Fax Number	:

Provider Business Practice Location Address
First Line	:	5445 SW 115TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6823
Country	:	US
Telephone Number	:	786-306-5559
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAYMED VALDES
Credential	:
Telephone Number	:	786-306-5559

Provider Enumeration Date	:	01/25/2018
Last Update Date	:	01/25/2018

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