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MARIO MAGCALAS MD PA NPI 1497856058


NPI Information

NPI: 1497856058
Provider Name: MARIO MAGCALAS MD PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 10D1078766

Address:
10794 PINES BLVD
SUITE 205
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 538-8543
Get Directions

MARIO MAGCALAS MD PA is a pulmonary disease internal medicine in Pembroke Pines, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MARIO MAGCALAS MD PA NPI is 1497856058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10794 PINES BLVD
SUITE 205
PEMBROKE PINES, FL
ZIP 33026-920
Phone: (954) 538-8543
Fax: (954) 431-8153

The provider's authorized official is Mario M Magcalas .
The authorized official title is President and has the following contact phone number (954) 538-8543.

The CLIA number assigned to this NPI record is 10D1078766 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0200XInternal MedicineCritical Care MedicineME71103FLORIDANo
3207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F90792MEDICARE UPINFLORIDA
2252988201MEDICAIDFLORIDA
342429AOTHERFLORIDAINDIVIDUAL MEDICARE PIN OLD #
4AB343MEDICARE PINFLORIDA
54824210001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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