Organization Active NPI

Marissa Estiva Magsino MD PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1790808293
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72766 Issued in FL
Legal business name
MARISSA ESTIVA MAGSINO MD PA
Doing business as
metrowest internal medicine
Practice address
1507 S Hiawassee Rd Ste 115
Orlando, FL 32835-5706
Phone
(407) 292-6778
Fax
(407) 292-5297
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mrs. Marissa Estiva Magsino, MD
Title
Owner
Phone
(407) 292-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME72766 FL Primary

Addresses

Primary practice location

1507 S Hiawassee Rd Ste 115
Orlando, FL 32835-5706

Mailing address

PO Box 2965
Windermere, FL 34786-2965
Phone (407) 292-6778

Other names 1

  • metrowest internal medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1790808293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2965",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347862965",
            "telephone_number": "407-292-6778",
            "fax_number": "407-292-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355706",
            "telephone_number": "407-292-6778",
            "fax_number": "407-292-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA ESTIVA MAGSINO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MAGSINO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ESTIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-292-6778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metrowest internal medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.