Organization Active NPI

Maximus Medical Group LLC

  • Health Maintenance Organization
  • Miami, FL
National Provider Identifier
1548767932
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MAXIMUS MEDICAL GROUP LLC
Practice address
777 NW 72ND Ave Ste 3162
Miami, FL 33126-3191
Phone
(786) 256-3264
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Mr. Dennis Sanchez
Title
Executive VP of Marketing
Phone
(786) 256-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

777 NW 72ND Ave Ste 3162
Miami, FL 33126-3191

Mailing address

11780 SW 30TH St
Miami, FL 33175-2303
Phone (786) 256-3264

National Provider Directory

National Provider Directory

Locations

777 NW 72nd Ave
Ste 3162
Miami, FL 33126
Phone (786) 256-3264

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1548767932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 SW 30TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752303",
            "telephone_number": "786-256-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 3162",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263191",
            "telephone_number": "786-256-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP OF MARKETING",
        "authorized_official_telephone_number": "786-256-3264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.