Angel I Ribo, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

PA9105286 Issued in FL

Practice address

240 N Frederick Ave
Daytona Beach, FL 32114-3400

Phone

(386) 255-5569

Fax

(386) 256-4730

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Outreach Community Care Network, Inc.

  • Infectious Disease Physician
  • Daytona Beach, FL
  • NPI 1952738049
  Medicare reassignment
• Outreach Community Care Network Inc

  • Community/Retail Pharmacy
  • Daytona Beach, FL
  • NPI 1043776057
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1144299124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N LAKEWALK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371304",
            "telephone_number": "903-445-9363",
            "fax_number": "833-490-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N FREDERICK AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143400",
            "telephone_number": "386-255-5569",
            "fax_number": "386-256-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328047133",
            "country_code": "US",
            "telephone_number": "407-246-1946",
            "fax_number": "855-895-5749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 Philips Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322079541",
            "country_code": "US",
            "telephone_number": "904-508-0710",
            "fax_number": "855-299-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBO",
        "first_name": "ANGEL",
        "middle_name": "I",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9105286",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "PA9105286",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "PA9105286",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02326",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105286",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "PA9105286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Adam Revels, DC
• Michael Casey Reynolds I
• Kristene Susan Rhoades, P.T.A.
• Debbie Rhodes, MA
• Hailey Nicole Rhodes
• Christopher Paul Riccard, M.D.
• Angela L Ricci, PA
• Austin Rice, MD
• Lauren Marie Rice, PA-C
• Crystal Rich

• Infectious Disease Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.