| Organization Name: | MIAMI QUALITY SERVICE |
| NPI Number: | 1033409008 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ENRIQUE DE LA COTERA (PRESIDENT) |
| Mailing Address: | 4471 Nw 36th St Ste 204 Miami Springs |
| State: | FL US |
| Postal Code: | 331667288 |
| Phone Number: | 3058848035 |
| Fax Number: | 3058848036 |
| NPI Enumeration Date: | 04/12/2011 |
| NPI Last Update Date: | 04/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC8185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |