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NPI Code Detail

MEDICARE: MAXIMILIANO HERNANDEZ MD PA

MEDICARE: MAXIMILIANO HERNANDEZ MD PA
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
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DQ5132OTHERTXRAILROAD MEDICARE
3TXB100689OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10032WCOTHERTXBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861464026
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXIMILIANO HERNANDEZ MD PA
Provider Business Mailing Address
First Line : PO BOX 644
Second Line :
City : PHARR
State : TX
Zip : 78577-1612
Country : US
Telephone Number : 956-702-1013
Fax Number : 956-781-5796
Provider Business Practice Location Address
First Line : 502 S CAGE BLVD
Second Line :
City : PHARR
State : TX
Zip : 78577
Country : US
Telephone Number : 956-702-1013
Fax Number : 956-781-5796
Authorized Official
Title or Position : OWNER
Name : MAXIMILIANO HERNANDEZ
Credential : M.D.
Telephone Number : 956-702-1013
Provider Enumeration Date : 02/02/2006
Last Update Date : 06/04/2018

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Directions to “MAXIMILIANO HERNANDEZ MD PA ” Practice Location

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