Organization Active NPI

MG Medical & Associates LLC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255026324
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MG MEDICAL & ASSOCIATES LLC
Practice address
1330 SW 22ND St Ste 301
Miami, FL 33145-2945
Phone
(786) 343-0172
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Marianela Galvez Perez
Title
Owner
Phone
(786) 343-0172

Specialties & licenses 1

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

Addresses

Primary practice location

1330 SW 22ND St Ste 301
Miami, FL 33145-2945

Mailing address

2449 NW 4TH St
Miami, FL 33125-4410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230529000170 FL Part B Supplier - Clinic/Group Practice 4587021035 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1330 SW 22nd St
Ste 301
Miami, FL 33145
Phone (786) 254-7444

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": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1255026324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "786-343-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG MEDICAL & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GALVEZ  PEREZ",
        "authorized_official_first_name": "MARIANELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-343-0172"
    },
    "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 Apr 5, 2023; 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.