| Maximiliano Hernandez Md Pa | |
|
502 S Cage Blvd Pharr TX 78577 | |
| (956) 702-1013 | |
| (956) 781-5796 |
| Full Name | Maximiliano Hernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 S Cage Blvd, Pharr, Texas |
| Authorized Official Name and Position | Maximiliano Hernandez (OWNER) |
| Authorized Official Contact | 9567021013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maximiliano Hernandez Md Pa Po Box 644 Pharr TX 78577-1612 Ph: (956) 702-1013 | Maximiliano Hernandez Md Pa 502 S Cage Blvd Pharr TX 78577 Ph: (956) 702-1013 |
| NPI Number | 1861464026 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 5395874184 |
|---|---|
| Medicare Enrollment ID | O20100604000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861464026 | NPI | - | NPPES |
| 0032WC | Other | TX | BCBS |
| DQ5132 | Other | TX | RAILROAD MEDICARE |
| TXB100689 | Other | TX | MEDICARE |
| 212365501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maximiliano E Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477525384 PECOS PAC ID: 8729983952 Enrollment ID: I20100603000611 |
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