Individual provider Active NPI

Angel Larramendi, PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1376659649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA9100092 Issued in FL
Practice address
13333 SW 42ND St
Miami, FL 33175-3270
Phone
(305) 553-2999
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA9100092 FL Primary

Addresses

Primary practice location

13333 SW 42ND St
Miami, FL 33175-3270

Mailing address

13333 SW 42ND St
Miami, FL 33175-3270
Phone (305) 553-2999

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000093 FL Practitioner - Physician Assistant 9032391677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HL Hispanic Medical Center IncGroup PAC ID 4981885738, 2 clinicians

Practice addresses (Care Compare)

13333 SW 42 St
Miami, FL 33175-3270
Phone (305) 553-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376659649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753270",
            "telephone_number": "305-553-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753270",
            "telephone_number": "305-553-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAMENDI",
        "first_name": "ANGEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9100092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.