Active NPI
Magi Health Care Clinic Inc
- Primary Care Clinic/Center
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- HCC8678
- Legal business name
- MAGI HEALTH CARE CLINIC INC
- Practice address
- 5803 NW 151St St Ste 301
Miami Lakes, FL 33014-2478 - Phone
- (786) 422-7374
- Fax
- (786) 422-7375
- NPI assigned
- Sep 15, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | HCC8678 | FL | Primary |
Addresses
Primary practice location
5803 NW 151St St Ste 301
Miami Lakes, FL 33014-2478
Mailing address
5803 NW 151St St Ste 301
Miami Lakes, FL 33014-2478
Phone (786) 422-7374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609184407 | Medicaid | FL |
Other names 1
- Abuelitos Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2004027 | Magi Health Care Clinic Inc | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- 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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1306661129
Locations
600 E 25th St
Ste Abc
Hialeah, FL 33013
Phone (786) 422-7374
5803 NW 151st St
Ste 301
Miami Lakes, FL 33014
Phone (786) 422-7374
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Miami, FL
- NPI 1306661129
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami Lakes, FL
- NPI 1568877603
-
- Family Medicine Physician
- Homestead, FL
- NPI 1487698460
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami Lakes, FL
- NPI 1912515768
-
- Internal Medicine Physician
- Miami, FL
- NPI 1093701039
-
- Internal Medicine Physician
- Miami, FL
- NPI 1164454377
-
- Family Medicine Physician
- Miami, FL
- NPI 1487606331
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1912505629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549411200000",
"number": "1609184407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 301",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142478",
"telephone_number": "786-422-7374",
"fax_number": "786-422-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 301",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142478",
"telephone_number": "786-422-7374",
"fax_number": "786-422-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGI HEALTH CARE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-15",
"last_updated": "2019-02-06",
"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": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "HCC8678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609184407",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Abuelitos Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Abuelitos Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.