Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Medical Center Corp

Organization Physical Medicine & Rehabilitation Physician · NPI 1174308365

Magnolia Medical Center Corp is a Physical Medicine & Rehabilitation Physician in Miami Gardens, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

160 NW 176th St Ste 309
Miami Gardens, FL 33169-5048
Phone: (305) 488-4550
Fax: (786) 219-3881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1174308365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Riestra Rosa — Owner · (656) 247-0009
NPI enumeratedAugust 28, 2023
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address160 Nw 176th St Ste 309, Miami Gardens, FL 33169-5048

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