Provider Demographics
NPI:1851969133
Name:CORONADO MAXIMO HEALTH CARE INC
Entity Type:Organization
Organization Name:CORONADO MAXIMO HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRADOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-266-0772
Mailing Address - Street 1:13595 SW 134TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4580
Mailing Address - Country:US
Mailing Address - Phone:305-385-2474
Mailing Address - Fax:305-547-9932
Practice Address - Street 1:13595 SW 134TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4580
Practice Address - Country:US
Practice Address - Phone:305-385-2474
Practice Address - Fax:305-547-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health