Active NPI
Marissa Estiva Magsino MD PA
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1790808293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME72766
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.