SHANE MAGDALENO (NPI# 1487260873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487260873 |
| Entity Type | Individual |
| Full Name | SHANE MAGDALENO |
| Practice Address |
4501 Sw 113th Ave Miami FL 33165-5567 |
| Practice Telephone | 3053053544 |
| Mailing Telephone | 3053053544 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA77764 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4501 SW 113TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1801495346 | Nina Villalonga | Massage Therapist | 7924 Sw 19th St, Miami, FL 33155-1334 | 2020-10-24 |
| 1275131641 | Kaylee Sofia Nieves | Massage Therapist | 265 Ne 53rd St Apt 3, Miami, FL 33137-2839 | 2020-10-16 |
| 1346848587 | Guirlande Joseph | Massage Therapist | 173 Nw 39th St, Miami, FL 33127-2911 | 2020-10-10 |
| 1851908420 | Joannet Hassan | Massage Therapist | 3401 Nw 17th Ave Apt 809, Miami, FL 33142-5619 | 2020-09-28 |
| 1164037198 | Yaremis Sarraff | Massage Therapist | 2433 Sw 112th Ct, Miami, FL 33165-2248 | 2020-09-15 |
| 1275148710 | Alejandro Manuel Garcia | Massage Therapist | 8735 Sw 113th Ct, Miami, FL 33173-4233 | 2020-09-11 |
| 1548875073 | Kimani Cooke | Massage Therapist | 9945 Sw 155th St, Miami, FL 33157-1638 | 2020-09-11 |
| 1609481423 | Tamika Gayle | Massage Therapist | 21471 San Simeon Way Bldg 14-111, Miami, FL 33179-2155 | 2020-09-09 |
| 1306450200 | Maryanne Reukauf | Massage Therapist | 2705 Nw 22nd Ave, Miami, FL 33142-8434 | 2020-09-08 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.