Organization Active NPI

Marissa Estiva-Magsino Mdpa

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1366413544
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72766 Issued in FL
Legal business name
MARISSA ESTIVA-MAGSINO MDPA
Doing business as
metrowest internal medicine
Practice address
1507 S Hiawassee Rd
Suite 115
Orlando, FL 32835-5706
Phone
(407) 292-6778
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Marissa Estiva Magsino, MDNPI 1295917763
Title
President
Phone
(407) 292-6778

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME72766 FL Primary

Addresses

Primary practice location

1507 S Hiawassee Rd
Suite 115
Orlando, FL 32835-5706

Mailing address

PO Box 2965
Windermere, FL 34786-2965
Phone (407) 292-6778

Other identifiers 1

IdentifierTypeStateIssuer
K7670OtherFLMEDICARE GROUP NUMBER

Other names 1

  • metrowest internal medicine Doing business as

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": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1366413544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2965",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347862965",
            "telephone_number": "407-292-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "SUITE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355706",
            "telephone_number": "407-292-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA ESTIVA-MAGSINO MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MAGSINO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ESTIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-292-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K7670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metrowest internal medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.