Magnolia Medical Center Corp

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MAGNOLIA MEDICAL CENTER CORP

Practice address

160 NW 176TH St Ste 309
Miami Gardens, FL 33169-5048

Phone

(305) 488-4550

Fax

(786) 219-3881

NPI assigned

Aug 28, 2023

Last updated

Jul 31, 2025By 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

Miguel Angel Riestra Rosa

Title

Owner

Phone

(656) 247-0009

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Abhishek Khatri, M.B.B.S.

  • Sleep Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1366974503
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1174308365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 309",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695048",
            "telephone_number": "305-488-4550",
            "fax_number": "786-219-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 309",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695048",
            "telephone_number": "305-488-4550",
            "fax_number": "786-219-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "RIESTRA ROSA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "656-247-0009"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arabell Madlun
• Jacqueline Alexandra Madriz, COTA
• Mike Thomas Madsen, RRT
• Mae Alf
• Magdalene Community Clinic, LLC
• Maison de St Joseph
• Yudith Malagon Delgado
• Alexandra Malmis, OTR/L
• Nathali Manes
• Obed Manigat

• Physical Medicine & Rehabilitation Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.