Organization Active NPI

Magnifico PC

  • Health Service Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1669654471
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME88429 Issued in FL
Legal business name
MAGNIFICO PC
Practice address
3990 W Flagler St
Suite 500
Coral Gables, FL 33134-1644
Phone
(786) 547-2725
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Vladimiro Giua, M.D.NPI 1720045529
Title
Owner
Phone
(786) 547-2725

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
Health Service Clinic/Center 261QH0100X ME88429 FL Primary

Addresses

Primary practice location

3990 W Flagler St
Suite 500
Coral Gables, FL 33134-1644

Mailing address

404 SW 19TH Rd
Miami, FL 33129-1314
Phone (786) 547-2725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000247 FL Part B Supplier - Clinic/Group Practice 9537240254 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Miami, FL; North Miami, FL

National Provider Directory

National Provider Directory

Locations

7800 S Red Rd
Ste 131
South Miami, FL 33143
Phone (786) 547-2725

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1669654471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SW 19TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291314",
            "telephone_number": "786-547-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST",
            "address_2": "SUITE 500",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "786-547-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "GIUA",
        "authorized_official_first_name": "VLADIMIRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-547-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME88429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.