Organization Active NPI

Magaly a Rodriguez MD PA

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1033406970
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME71831 Issued in FL
Legal business name
MAGALY A RODRIGUEZ MD PA
Practice address
11140 SW 88TH St Ste 100
Miami, FL 33176-0901
Phone
(305) 279-1872
Fax
(305) 503-7508
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Dr. Magaly A Rodriguez, MD PA
Title
President
Phone
(305) 279-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME71831 FL Primary

Addresses

Primary practice location

11140 SW 88TH St Ste 100
Miami, FL 33176-0901

Mailing address

11140 SW 88TH St Ste 100
Miami, FL 33176-0901
Phone (305) 279-1872

Other identifiers 1

IdentifierTypeStateIssuer
253579300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1033406970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 SW 88TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760901",
            "telephone_number": "305-279-1872",
            "fax_number": "305-503-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 SW 88TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760901",
            "telephone_number": "305-279-1872",
            "fax_number": "305-503-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGALY A RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-279-1872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME71831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253579300",
            "state": "FL"
        }
    ],
    "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 Dec 29, 2020; 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.