Universal Max Medical Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC6346 Issued in FL

Legal business name

UNIVERSAL MAX MEDICAL CENTER CORP

Practice address

6555 NW 36TH St
Suite 103
Virginia Gardens, FL 33166-6978

Phone

(305) 876-1200

Fax

(305) 876-1201

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Maximo Alfonso Valdes

Title

President

Phone

(305) 876-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1326080482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441863",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331441863",
            "telephone_number": "305-904-9011",
            "fax_number": "305-876-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "SUITE 103",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-876-1200",
            "fax_number": "305-876-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MAX MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "ALFONSO VALDES",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-876-1200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.