Magellan Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC6604 Issued in FL

Legal business name

MAGELLAN CLINICAL SERVICES LLC

Practice address

255 SW 8TH St
Ste 204
Miami, FL 33130-3529

Phone

(305) 642-7245

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Jorge Carbonell

Title

Manager

Phone

(786) 709-6977

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Miguel Angel Garcia-Blanco

  • General Practice Physician
  • Plantation, FL
  • NPI 1356395743
  NPD (past)
• Hector S Rodriguez, M.D.

  • General Practice Physician
  • Hialeah, FL
  • NPI 1336172162
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083647713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 W 15TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143310",
            "telephone_number": "786-709-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SW 8TH ST",
            "address_2": "STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303529",
            "telephone_number": "305-642-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-709-6977"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Magdaleno
• Stephany Amy Magdariaga
• Crystal Magee
• Samantha Magee, PT, DPT
• Leah Magel, MD
• Magenta CMHC Inc
• Magenta CMHC Inc
• Maggies Retirement Home
• Maggies Retirement Home
• Dominic C Maggio, MD

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.