Provider Demographics
NPI:1558889832
Name:HRMAX PERFORMANCE, INC
Entity Type:Organization
Organization Name:HRMAX PERFORMANCE, INC
Other - Org Name:HRMAX PERFORMANCE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:ILEANA
Authorized Official - Last Name:SANCHEZ SOCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-879-3704
Mailing Address - Street 1:3737 E 4TH AVE APT 253
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2731
Mailing Address - Country:US
Mailing Address - Phone:305-879-3704
Mailing Address - Fax:
Practice Address - Street 1:1671 W 37TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4639
Practice Address - Country:US
Practice Address - Phone:786-515-3156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT32821261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy