Organization Active NPI

Angel Urgent Care Corp

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1679378723
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ANGEL URGENT CARE CORP
Practice address
7000 NW 52ND St
Miami, FL 33166-4845
Phone
(305) 418-0847
NPI assigned
Feb 13, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Lisbelle Emma Revoredo
Title
Director
Phone
(305) 418-0847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

7000 NW 52ND St
Miami, FL 33166-4845

Mailing address

7000 NW 52ND St
Miami, FL 33166-4845
Phone (305) 418-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002000753 FL Part B Supplier - Clinic/Group Practice 4183120751 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2320287Angel Urgent Care Corp7000 NW 52ND Street, Miami, FL 33166RegistrationMar 9, 2028

National Provider Directory

National Provider Directory

Locations

7000 NW 52nd St
Miami Springs, FL 33166
Phone (305) 418-0847

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1679378723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NW 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664845",
            "telephone_number": "305-418-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NW 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664845",
            "telephone_number": "305-418-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL URGENT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "REVOREDO",
        "authorized_official_first_name": "LISBELLE",
        "authorized_official_middle_name": "EMMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-418-0847"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.