Angel Agreda D.D.S. , P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN-0011416 Issued in FL

Legal business name

ANGEL AGREDA D.D.S. , P.A.

Practice address

2611 SW 147TH Ave
Miami, FL 33185-5621

Phone

(305) 554-8224

Fax

(305) 554-8897

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel Agreda, D.D.S.NPI 1699883199

Title

President

Phone

(305) 554-8224

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Agreda, D.D.S.

  • Dentist
  • Miami, FL
  • NPI 1699883199
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124119789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855621",
            "telephone_number": "305-554-8224",
            "fax_number": "305-554-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855621",
            "telephone_number": "305-554-8224",
            "fax_number": "305-554-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL AGREDA D.D.S. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGREDA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-554-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-0011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Angarita
• Angel & M Medical Serv, Inc
• Angel a Guerra MD PA
• Angel a Lazo MD LLC
• Angel a Lazo MD PA
• Angel Alf
• Angel Aura Holistics LLC
• Angel Barrios Psychiatry LLC
• Angel Blue Therapy Services, LLC
• Angel Care LLC

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.