Active NPI
Angel A. De Armendi
- General Practice Physician
- Miami Lakes, FL
National Provider Identifier
1316190358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17369 | PR | MD | Specialist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.