Individual provider Active NPI

Angely Hernandez Jose, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1548995012
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27322 Issued in FL
Practice address
350 NE 24TH St Apt 701
Miami, FL 33137-4876
Phone
(786) 702-6175
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 27322 FL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN27322 FL Primary

Addresses

Primary practice location

350 NE 24TH St Apt 701
Miami, FL 33137-4876

Mailing address

350 NE 24TH St Apt 701
Miami, FL 33137-4876
Phone (786) 702-6175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27322FLMDGeneral Practice Dentistry
DN27322FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1548995012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NE 24TH ST APT 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374876",
            "telephone_number": "786-702-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 24TH ST APT 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374876",
            "telephone_number": "786-702-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ JOSE",
        "first_name": "ANGELY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27322",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.