Angel O Pietri MD LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME48879 Issued in FL

Legal business name

ANGEL O PIETRI MD LLC

Practice address

12645 New Brittany Blvd BLDG 15
Fort Myers, FL 33907-3631

Phone

(239) 277-9377

Fax

(239) 277-3292

NPI assigned

Aug 24, 2006

Last updated

Nov 6, 2007By 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

Mr. Angel O Pietri, MDNPI 1083615108

Title

Owner

Phone

(239) 277-9377

Specialties & licenses 2

Addresses

Other identifiers 1

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 Pietri, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1083615108
  Authorized official Same address or phone

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1275640278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12645 NEW BRITTANY BLVD BLDG 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-277-9377",
            "fax_number": "239-277-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 NEW BRITTANY BLVD BLDG 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-277-9377",
            "fax_number": "239-277-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL O PIETRI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "PIETRI",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-277-9377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48879",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME48879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043790500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Providers of Fort Myers
• Anesthesia Services Plus Inc.
• Anesthesia Specialists of Southern Florida Inc.
• Anthony Joseph Anfuso Jr.
• George M Angalich, DPT
• Angela Joy Nutrition
• Veronica Leigh Angelo, DO
• Jesse Lee Angle II, DC
• Janna Lucero Anhalt
• Ernestina Anim, LCSW

• Endocrinology, Diabetes & Metabolism Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.