Organization Active NPI

Magnelia Healthcare Corp

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1245113901
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAGNELIA HEALTHCARE CORP
Practice address
9565 SW 24TH St Apt H112
Miami, FL 33165-8024
Phone
(786) 857-2379
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Magnelia Nicolasa Vazquez Ruiz, NPNPI 1467043463
Title
President
Phone
(786) 857-2379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9565 SW 24TH St Apt H112
Miami, FL 33165-8024

Mailing address

9565 SW 24TH St Apt H112
Miami, FL 33165-8024
Phone (786) 857-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821000375 FL Part B Supplier - Clinic/Group Practice 2769982180 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1245113901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 SW 24TH ST APT H112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658024",
            "telephone_number": "786-857-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 SW 24TH ST APT H112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658024",
            "telephone_number": "786-857-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNELIA HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ RUIZ",
        "authorized_official_first_name": "MAGNELIA",
        "authorized_official_middle_name": "NICOLASA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-857-2379",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "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 Jul 30, 2025; 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.