Individual provider Active NPI

Angel A. De Armendi

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1316190358
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN460 Issued in FL
Practice address
5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329
Phone
(855) 226-6633
Fax
(844) 224-2818
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17369 PR
General Practice Physician 208D00000X ACN460 FL Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329

Mailing address

9725 NW 117TH Ave Ste 200
Medley, FL 33178-1260
Phone (954) 432-0578

Other names 1

  • Dr. Angel A. De Armendi Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301002032 FL Practitioner - General Practice 2567767403

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17901 NW 5TH St
Suite 102
Pembroke Pines, FL 33029-2810

861 SW 8TH St
Miami, FL 33130-3703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17369PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1316190358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 NW 117TH AVE STE 200",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781260",
            "telephone_number": "954-432-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 109",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "855-226-6633",
            "fax_number": "844-224-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ARMENDI",
        "first_name": "ANGEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "17369",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "DE ARMENDI",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.