Organization Active NPI

Miami Quality Service

  • General Practice Physician
  • Miami Springs, FL
National Provider Identifier
1033409008
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC8185 Issued in FL
Legal business name
MIAMI QUALITY SERVICE
Practice address
4471 NW 36TH St Ste 204
Miami Springs, FL 33166-7288
Phone
(305) 884-8035
Fax
(305) 884-8036
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Enrique De la Cotera
Title
President
Phone
(305) 884-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC8185 FL Primary

Addresses

Primary practice location

4471 NW 36TH St Ste 204
Miami Springs, FL 33166-7288

Mailing address

4471 NW 36TH St Ste 204
Miami Springs, FL 33166-7288
Phone (305) 884-8035

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1033409008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 204",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667288",
            "telephone_number": "305-884-8035",
            "fax_number": "305-884-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 204",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667288",
            "telephone_number": "305-884-8035",
            "fax_number": "305-884-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI QUALITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "DE LA COTERA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-8035"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC8185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.