MEDICARE: DOCTOR MAX MEDICAL CENTER CORP

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	261QM0850X	Adult Mental Health Clinic/Center		FL

General Provider Information

NPI Number	:	1578924734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR MAX MEDICAL CENTER CORP

Provider Business Mailing Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 234
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 234
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:	786-542-0812
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADRIAN HERNANDEZ
Credential	:
Telephone Number	:	786-542-0812

Provider Enumeration Date	:	03/16/2016
Last Update Date	:	03/14/2026

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Directions to “DOCTOR MAX MEDICAL CENTER CORP ” Practice Location

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