Provider Demographics
NPI:1316109242
Name:P Q N INC
Entity type:Organization
Organization Name:P Q N INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-200-8093
Mailing Address - Street 1:6625 MIAMI LAKES DR
Mailing Address - Street 2:SUITE 317
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2702
Mailing Address - Country:US
Mailing Address - Phone:305-200-8093
Mailing Address - Fax:305-200-8094
Practice Address - Street 1:6625 MIAMI LAKES DR
Practice Address - Street 2:SUITE 317
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2702
Practice Address - Country:US
Practice Address - Phone:305-200-8093
Practice Address - Fax:305-200-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health