MGM Medical Services Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MGM MEDICAL SERVICES INC

Practice address

489 Hialeah Dr
# 10
Hialeah, FL 33010-5320

Phone

(305) 805-8499

Fax

(305) 805-8449

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marisela Gonzalez

Title

President

Phone

(305) 805-8499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871694992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "# 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "305-805-8499",
            "fax_number": "305-805-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "# 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "305-805-8499",
            "fax_number": "305-805-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-805-8499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.