Healthcare Provider Details

I. General information

NPI: 1669337853
Provider Name (Legal Business Name): MARIA CECILLE O MAGTOTO-NAVAJA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARICEL O MAGTOTO-NAVAJA FNP

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 ACCORD DR
SPRING TX
77386-4451
US

IV. Provider business mailing address

3511 ACCORD DR
SPRING TX
77386-4451
US

V. Phone/Fax

Practice location:
  • Phone: 832-788-1021
  • Fax:
Mailing address:
  • Phone: 832-788-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD1100X
TaxonomyPeritoneal Dialysis Registered Nurse
License Number775853
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: