MEDICARE: DR. MAURILIO HERNANDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301095103	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1235131137	OTHER	MI	BCBSM - BRONSON

General Provider Information

NPI Number	:	1154550911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAURILIO HERNANDEZ M.D.

Provider Business Mailing Address
First Line	:	1834 S CEDAR ST
Second Line	:	STE A
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9779
Country	:	US
Telephone Number	:	586-727-2761
Fax Number	:	586-727-3120

Provider Business Practice Location Address
First Line	:	1834 S CEDAR ST STE A
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9779
Country	:	US
Telephone Number	:	810-721-0000
Fax Number	:	810-721-0003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	12/17/2020

Similar Medicare Providers

1093892259 — THIBODEAU PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

1808 S CEDAR ST
IMLAY CITY, MI
48444-9779

Practice Phone: 810-721-0421
Practice Fax: 810-721-0423

1487478855 — PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Practice Location Address:

1808 S CEDAR ST
IMLAY CITY, MI
48444-9779

Practice Phone: 810-724-0421
Practice Fax:

1962297853 — ALXMH LLC
Practice Location Address:

1834 S CEDAR ST
IMLAY CITY, MI
48444-9779

Practice Phone: 810-721-0000
Practice Fax: 821-721-0003

1699703850 — PATRICK PETE STOVER D.D.S.
Practice Location Address:

3102 S HIGHWAY 6
ELK CITY, OK
73644-9779

Practice Phone: 580-225-4448
Practice Fax: 580-225-4460

1023042678 — DR. JEFFREY KENNETH LEE D.C.
Practice Location Address:

215 W HOWARD CITY EDMORE RD
EDMORE, MI
48829-9779

Practice Phone: 989-427-5551
Practice Fax: 989-427-3102

1124032040 — EDMORE CHIROPRACTIC CLINIC, PLLC
Practice Location Address:

215 W HOWARD CITY EDMORE RD
EDMORE, MI
48829-9779

Practice Phone: 989-427-5551
Practice Fax: 989-427-3102

Directions to “ DR. MAURILIO HERNANDEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.