Magdalene Community Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAGDALENE COMMUNITY CLINIC, LLC

Practice address

99 NW 183Rd St Ste 206
Miami Gardens, FL 33169-4553

Phone

(305) 224-8763

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Paula WrightNPI 1174267710

Title

Ceo

Phone

(305) 224-8763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlene Patricia Whyte-McNee, ARNP

  • General Practice Registered Nurse
  • Miami Gardens, FL
  • NPI 1285866517

  Multi-Specialty

  Medicare reassignment NPD
• Paula Wright, CEO

  • Primary Care Clinic/Center
  • Miami Gardens, FL
  • NPI 1174267710
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1922832302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 206",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694553",
            "telephone_number": "305-224-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 206",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694553",
            "telephone_number": "305-224-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDALENE COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-224-8763"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Madera Navarro
• Arabell Madlun
• Jacqueline Alexandra Madriz, COTA
• Mike Thomas Madsen, RRT
• Mae Alf
• Magnolia Medical Center Corp
• Maison de St Joseph
• Yudith Malagon Delgado
• Alexandra Malmis, OTR/L
• Nathali Manes

• Primary Care Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.