Organization Active NPI

Magnolia Therapy Center LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1013659903
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MAGNOLIA THERAPY CENTER LLC
Practice address
300 SW 107TH Ave
Miami, FL 33174-3600
Phone
(305) 209-0038
Fax
(305) 675-7767
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Liliana Galvez
Title
Owner
Phone
(305) 588-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 SW 107TH Ave
Miami, FL 33174-3600

Mailing address

300 SW 107TH Ave
Miami, FL 33174-3600
Phone (305) 209-0038

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Therapy Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1013659903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743600",
            "telephone_number": "305-209-0038",
            "fax_number": "305-675-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743600",
            "telephone_number": "305-209-0038",
            "fax_number": "305-675-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-588-1654"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 24, 2026; 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.