Organization Active NPI

Magnifico Medical Center Corp

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1740873876
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.