Angel Ernesto Rico MD PA II

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ANGEL ERNESTO RICO MD PA II

Practice address

1275 W 47TH PL Ste 420
Hialeah, FL 33012-3452

Phone

(863) 532-0987

Fax

(786) 353-2249

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Angel Ernesto Rico, MD PA

Title

President

Phone

(786) 353-2098

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Mislaidy Lopez

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1003454455
  Medicare reassignment NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1295414787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 420",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123452",
            "telephone_number": "786-353-2098",
            "fax_number": "786-353-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 420",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123452",
            "telephone_number": "863-532-0987",
            "fax_number": "786-353-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ERNESTO RICO MD PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-353-2098",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278704100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel B Marin MD PA
• Angel Dreams Care Corp
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• Angel E. Tejeda, M.D., P.a.
• Angel Ernesto Rico MD PA
• Angel Hands Therapy Inc.
• Angel Home Health Care, Inc.
• Angel Love Care Sevice Corp
• Angel Nurse Registry LLC
• Angel Speech and Therapy Services Plus Corp

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.