Maximiliano Hernandez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAXIMILIANO HERNANDEZ MD PA

Practice address

502 S Cage Blvd
Pharr, TX 78577

Phone

(956) 702-1013

Fax

(956) 781-5796

NPI assigned

Feb 2, 2006

Last updated

Jun 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maximiliano Hernandez, M.D.NPI 1477525384

Title

Owner

Phone

(956) 702-1013

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maximiliano E Hernandez, M.D.

  • Internal Medicine Physician
  • Pharr, TX
  • NPI 1477525384
  Medicare reassignment NPD Authorized official
• Manuel J Mercado, MD

  • Internal Medicine Physician
  • Pharr, TX
  • NPI 1316919228
  NPD

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1861464026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771612",
            "telephone_number": "956-702-1013",
            "fax_number": "956-781-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-702-1013",
            "fax_number": "956-781-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMILIANO HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAXIMILIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-702-1013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032WC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ5132",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB100689",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212365501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pharr, TX
• Providers in Pharr, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.