Magnolia Medical Center Corp
NPI #1174308365 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1174308365
- Entity Type
- Organization
- Organization Name
- Magnolia Medical Center Corp
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Jul 31, 2025
Practice Location
- Address
- 160 NW 176TH ST STE 309
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5048
- Phone
- (305) 488-4550
Authorized Official
- Name
- MIGUEL ANGEL RIESTRA ROSA
- Title
- OWNER
- Phone
- (656) 247-0009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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