Provider Demographics
NPI:1568737765
Name:MAGIC HANDS MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:MAGIC HANDS MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIOSA ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-400-8609
Mailing Address - Street 1:5200 SW 8TH ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2300
Mailing Address - Country:US
Mailing Address - Phone:305-400-8609
Mailing Address - Fax:305-400-8241
Practice Address - Street 1:5200 SW 8TH ST
Practice Address - Street 2:SUITE 121
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2300
Practice Address - Country:US
Practice Address - Phone:305-400-8609
Practice Address - Fax:305-400-8241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM28050225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty