Healthcare Provider Details

I. General information

NPI: 1629989538
Provider Name (Legal Business Name): MAX HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRADERAS DE NAVARRO SHOPPING CENTER CARR. 931 KM 5.4 SECTOR CIELITO
GURABO PR
00778
US

IV. Provider business mailing address

PRADERAS DE NAVARRO SHOPPING CENTER CARR. 931 KM 5.4 SECTOR CIELITO
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 939-342-6054
  • Fax:
Mailing address:
  • Phone: 939-342-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEX CARRASQUILLO VILLANUEVA
Title or Position: ADMINISTRATOR
Credential:
Phone: 939-342-6054