MG Medical Facility Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6432 Issued in FL

Legal business name

MG MEDICAL FACILITY INC

Practice address

1821 NW 123Rd Ave
Pembroke Pines, FL 33026-3825

Phone

(954) 432-8856

Fax

(954) 432-8955

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maria De Jesus Rodriguez

Title

Office Manager

Phone

(954) 432-8856

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1710227988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "954-432-8856",
            "fax_number": "954-432-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "954-432-8856",
            "fax_number": "954-432-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG MEDICAL FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-432-8856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.