Organization Active NPI

Angelica Medical Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1275158685
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANGELICA MEDICAL SUPPLY CORP
Practice address
3534 W Flagler St.
Suite a
Miami, FL 33135-1028
Phone
(786) 536-2133
Fax
(786) 536-2170
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Rigoberto Alonso
Title
President
Phone
(786) 536-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3534 W Flagler St.
Suite a
Miami, FL 33135-1028

Mailing address

3534 W. Flagler St.
Suite a
Miami, FL 33135-1028
Phone (786) 536-2133

National Provider Directory

National Provider Directory

Locations

3534 W Flagler St
Ste A
Miami, FL 33135
Phone (786) 536-2133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1275158685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 W. FLAGLER ST.",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351028",
            "telephone_number": "786-536-2133",
            "fax_number": "786-536-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 W FLAGLER ST.",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351028",
            "telephone_number": "786-536-2133",
            "fax_number": "786-536-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "RIGOBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-536-2133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Aug 25, 2021; 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.