MG Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MG MEDICAL LLC

Practice address

18743 SW 24TH St
Miramar, FL 33029-5934

Phone

(954) 233-0913

Fax

(954) 391-5011

NPI assigned

Mar 25, 2020

Last updated

May 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mercedes Garcia, APRNNPI 1164719910

Title

Managing Member

Phone

(954) 233-0913

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mercedes Garcia, ANP-BC

  • Nurse Practitioner
  • Tamarac, FL
  • NPI 1164719910
  Medicare reassignment NPD Authorized official
• Jose Angel Martin, DO

  • Surgery Physician
  • Tamarac, FL
  • NPI 1609016849
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1114554425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18743 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295934",
            "telephone_number": "954-233-0913",
            "fax_number": "954-391-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18743 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295934",
            "telephone_number": "954-233-0913",
            "fax_number": "954-391-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-233-0913",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108582200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jude Metellus
• Marie Denise Metellus
• Olysha Metelus, BEHAVIOR TECHNICIAN
• Kethia Methelus, RBT
• Willina Mexil, COTA
• Mia Donna LLC
• Miami Gardens Health Clinic, LLC (NP Home Visiting, LLC)
• Miami Mental Health & Wellness LLC (South Florida Mental Health & Wellness Center)
• Margaret Michael, DMD
• Neveen Michael

• Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.