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

Shane Magdaleno

Individual provider Massage Therapist · NPI 1487260873

Shane Magdaleno is a Massage Therapist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

4501 SW 113th Ave
Miami, FL 33165-5567
Phone: (305) 305-3544
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA77764 (FL)

Record details

NPI number1487260873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020

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