CORONADO MAXIMO HEALTH CARE INC NPI 1417521311

NPI Information

NPI: 1417521311
Provider Name: CORONADO MAXIMO HEALTH CARE INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 10D2223798

Address:
13595 SW 134TH AVE STE 210
MIAMI, FL
ZIP 33186
Phone: (305) 385-2474
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CORONADO MAXIMO HEALTH CARE INC is a mental health (including community mental health center) clinic center in Miami, FL. CORONADO MAXIMO HEALTH CARE INC NPI is 1417521311. The provider is registered as an organization entity type.

The provider's business location address is:

13595 SW 134TH AVE STE 210
MIAMI, FL
ZIP 33186-580
Phone: (305) 385-2474

The provider's authorized official is Julio A Galvez .
The authorized official title is Owner and has the following contact phone number (305) 385-2474.

The CLIA number assigned to this NPI record is 10D2223798 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2021 and was last updated on 5/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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