Healthcare Provider Details

I. General information

NPI: 1417866377
Provider Name (Legal Business Name): CMCH HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7590 NW 186TH ST STE 209
HIALEAH FL
33015-2952
US

IV. Provider business mailing address

7590 NW 186TH ST STE 209
HIALEAH FL
33015-2952
US

V. Phone/Fax

Practice location:
  • Phone: 786-350-6080
  • Fax:
Mailing address:
  • Phone: 786-350-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLOS MAZA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 786-350-6080