Healthcare Provider Details

I. General information

NPI: 1063341592
Provider Name (Legal Business Name): MULTI SERVICES HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 NW 7TH ST
MIAMI FL
33126-2307
US

IV. Provider business mailing address

4540 NW 7TH ST
MIAMI FL
33126-2307
US

V. Phone/Fax

Practice location:
  • Phone: 786-706-4880
  • Fax:
Mailing address:
  • Phone: 786-706-4880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: CELIO HERNANDEZ
Title or Position: MANAGER
Credential:
Phone: 786-757-1941