Luis Mario Angles

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905482 Issued in FL

Legal business name

LUIS MARIO ANGLES

Practice address

5413 Hayden Blvd
Sarasota, FL 34232-5735

Phone

(941) 378-4317

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Luis Mario Angles

Title

Owner

Phone

(941) 378-4317

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1275979908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 HAYDEN BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 HAYDEN BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325735",
            "telephone_number": "941-378-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MARIO ANGLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "ANGLES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-378-4317"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141647200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lucier
• Catherine Luckner, LCSW
• Lori-Ann T Luer, APRN, FNP
• Kim Lugannani
• Felicita Desiree Lugo, MD, ME, PATH/TOX
• Alan Luke, LMT
• Jordan Lund, PHARMD
• Lexie Lundquist, OTR/L
• Eileen Marie Lundy
• Lung Associates of Sarasota LLC

• Adult Care Home Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.