Individual provider Active NPI

Victor Angles-Hermoza

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497202105
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9344929 Issued in FL
Practice address
7829 Miller Dr Apt B205
Miami, FL 33155-4354
Phone
(305) 496-8240
NPI assigned
Sep 10, 2016
Last updated
Sep 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9344929 FL Primary

Addresses

Primary practice location

7829 Miller Dr Apt B205
Miami, FL 33155-4354

Mailing address

7829 Miller Dr Apt B205
Miami, FL 33155-4354
Phone (305) 496-8240

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
I20190418001172 FL Practitioner - Nurse Practitioner 4587905658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Luis F Gutierrez MD LLCGroup PAC ID 2567783814, 2 clinicians

Practice addresses (Care Compare)

9690 W Sample Rd
Suite 101 102
Coral Springs, FL 33065-4031
Phone (954) 346-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9344929FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luis F Gutierrez MD LLC CurrentSince Dec 24, 2022 Accepting new patients
Drew a. Sax, O.D.,P.a. Past Accepting new patients

Locations

9690 W Sample Rd
Ste 101
Coral Springs, FL 33065
Phone (954) 346-8800

9690 W Sample Rd
Ste 101102
Coral Springs, FL 33065
Phone (954) 346-8800

9690 W Sample Rd
Ste 101103
Coral Springs, FL 33065

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473465600000",
    "number": "1497202105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 MILLER DR APT B205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554354",
            "telephone_number": "305-496-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 MILLER DR APT B205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554354",
            "telephone_number": "305-496-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLES-HERMOZA",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-10",
        "last_updated": "2016-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.