Organization Active NPI

Magi Health Care Clinic Inc

Doing business as Abuelitos Medical Center

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1306661129
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAGI HEALTH CARE CLINIC INC
Doing business as
Abuelitos Medical Center
Practice address
1241 SW 1St St
Miami, FL 33135-2401
Phone
(786) 475-4001
NPI assigned
Nov 18, 2024
Organization subpart
Yes
Parent organization
MAGI HEALTH CARE CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Tamara Rodriguez
Title
President
Phone
(786) 422-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1241 SW 1St St
Miami, FL 33135-2401

Mailing address

1241 SW 1St St
Miami, FL 33135-2401
Phone (786) 475-4001

Other names 1

  • Abuelitos Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318671Magi Health Care Clinic Inc1241 SW 1St St, Miami, FL 33135Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Magi Health Care Clinic Inc2 organizations share this tax ID, including this one
Part of
Magi Health Care Clinic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1241 SW 1st St
Miami, FL 33135
Phone (305) 541-2000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1306661129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352401",
            "telephone_number": "786-475-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352401",
            "telephone_number": "786-475-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGI HEALTH CARE CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGI HEALTH CARE CLINIC INC",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-422-7374"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abuelitos Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.