Active NPI
Magnifico Medical Center Corp
- Rehabilitation Clinic/Center
- Fort Myers, FL
National Provider Identifier
1740873876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MAGNIFICO MEDICAL CENTER CORP
- Practice address
- 4531 Deleon St Ste 201
Fort Myers, FL 33907-1280 - Phone
- (239) 208-2146
- Fax
- (239) 672-8620
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 19, 2021
- 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
- Marilyn Iglesias
- Title
- Owner
- Phone
- (239) 208-2146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4531 Deleon St Ste 201
Fort Myers, FL 33907-1280
Mailing address
4531 Deleon St Ste 201
Fort Myers, FL 33907-1280
Phone (239) 208-2146
National Provider Directory
National Provider DirectoryLocations
4531 Deleon St
Ste 201
Fort Myers, FL 33907
Phone (239) 208-2146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613692800000",
"number": "1740873876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 DELEON ST STE 201",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071280",
"telephone_number": "239-208-2146",
"fax_number": "239-672-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 DELEON ST STE 201",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071280",
"telephone_number": "239-208-2146",
"fax_number": "239-672-8620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNIFICO MEDICAL CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A",
"authorized_official_last_name": "IGLESIAS",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-208-2146"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.