Organization Active NPI

Angel Blue Therapy Services, LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1013527118
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGEL BLUE THERAPY SERVICES, LLC
Practice address
721 NW 21St CT
Miami, FL 33125-3434
Phone
(786) 710-1976
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Noel Ferrer Rodriguez
Title
Owner
Phone
(305) 548-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

721 NW 21St CT
Miami, FL 33125-3434

Mailing address

721 NW 21St CT
Miami, FL 33125-3434
Phone (786) 710-1976

National Provider Directory

National Provider Directory

Locations

10300 Sunset Dr
Ste 281
Miami, FL 33173
Phone (786) 409-9342

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1013527118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 21ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253434",
            "telephone_number": "786-710-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 21ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253434",
            "telephone_number": "786-710-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BLUE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-01-14",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "FERRER RODRIGUEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-548-0456"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.