Individual provider Active NPI

Angel Omar Roman Munoz, M.D.

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1063643138
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN747 Issued in FL
Practice address
17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Phone
(863) 588-4775
Fax
(863) 380-0030
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17695 PR
General Practice Physician 208D00000X ACN747 FL Primary

Addresses

Primary practice location

17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone (863) 588-4775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110128000450 PR Practitioner - General Practice 2062691678 Practice locations: Arecibo, PR
I20180622002307 FL Practitioner - General Practice 2062691678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

701 E State Rd
50 Suite 731C
Clermont, FL 34711-3165
Phone (321) 380-1505

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN747FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Centers of Central Florida LLC CurrentSince Jan 29, 2022 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC Current Accepting new patients
Soni Family Practice, PLLC CurrentSince Aug 10, 2026 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Medical Home Alliance LLC CurrentSince Dec 10, 2023 Accepting new patients
Caremax Medical Centers of Central Florida, LLC Current Accepting new patients
SFP PC Holdings, Inc. CurrentSince Aug 10, 2026 Accepting new patients
Caremax Medical Centers of Central Florida, LLC CurrentSince Jan 29, 2022 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Senior Medical Associates LLC Past Accepting new patients
Policlinica del Atlantico Corp Past Accepting new patients

Locations

701 E State Road 50
Ste 731C
Clermont, FL 34711
Phone (321) 235-6230

701 E State Road 50
Ste 731
Clermont, FL 34711
Phone (321) 380-1505

17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

2710 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (321) 235-6230

865 Buenaventura Blvd
Kissimmee, FL 34743
Phone (321) 235-6230

4725 US Highway 98 S
Ste 101
Lakeland, FL 33812
Phone (863) 646-9663

4729 US Highway 98 S
Ste 201
Lakeland, FL 33812
Phone (863) 646-9663

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

5564 E Grant St
Orlando, FL 32822
Phone (321) 235-6230

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

4227 13th St
Saint Cloud, FL 34769
Phone (321) 235-6230

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: angel.roman.p1@direct.caremax.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1063643138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "863-588-4775",
            "fax_number": "863-380-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Park Place Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376868",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN MUNOZ",
        "first_name": "ANGEL",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17695",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.