Cellmax Medical Group, Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CELLMAX MEDICAL GROUP, CORP

Practice address

17699 NW 78TH Ave
Hialeah, FL 33015-3627

Phone

(786) 487-6626

NPI assigned

Feb 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yesira BassiNPI 1508383365

Title

President

Phone

(786) 487-6626

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yesira P. Bassi

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
  • NPI 1508383365
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1104524354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17699 NW 78TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153627",
            "telephone_number": "786-487-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17699 NW 78TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153627",
            "telephone_number": "786-487-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLMAX MEDICAL GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BASSI",
        "authorized_official_first_name": "YESIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-487-6626"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaima Cedeno
• Diana Elena Cedron Moya
• Heather Ann Celentano, O.D.
• Celestino Lopez Omd LLC
• Celestino P Castellon MD PA
• Carla Maria Celorrio Ferreiro
• Ciro Alejandro Centeno Perez
• Center Treatment of Rehabilitation Inc
• Centers of Medical Excellence, LLC
• Centers of Medical Excellence, LLC

• Multi-Specialty Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.